Insurance Verification and Authorization

Discover your 100% YOU with MicroSourcing
Position:
Insurance Verification and Authorization (IV/Auth) Auditor

Location:
Taguig

Work setup & shift:
Onsite | Night shift

Why join MicroSourcing?
You'll Have

• Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
• Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Your Role
As An IV/Auth Auditor, You Will
IV/Auth Auditing

• Audit IV/Auth specialists and "audit the auditors" to ensure accuracy expectations are met.
• Perform quality checks and audits on visits worked by IV/Auth specialists according to client SOPs.
• Conduct calibration audits to align team performance with client standards.

IV/Auth Audit Reporting

• Suggest improvements and schedule calibration sessions with offshore team counterparts and leaders.
• Prepare audit reports and provide feedback to IV/Auth specialists and auditors on areas of opportunity.
• Participate in client interactions and internal stakeholder meetings.
• Ensure compliance with IV/Auth guidelines, initiate corrective actions as needed, and prevent errors prior to rebilling.
• Conduct analysis and present findings to leadership clearly, concisely, and actionably.
• Immediately escalate any compliance risks or issues to leadership.
• Perform other duties and responsibilities as assigned.

What You Need
Non-negotiables

• Minimum of 3 years IV/Auth experience.
• Senior High School Diploma or equivalent.
• Strong knowledge of insurance verification and authorization processes and familiarity with HIPAA regulations.
• Proficiency with hospital EMR systems such as Epic, Cerner, or Meditech.
• Excellent verbal and written English communication skills (CEFR B2 minimum) and customer service skills.

Preferred skills / expertise

• At least 1 year of IV/Auth auditing experience.
• Bachelor's degree in business or healthcare-related field preferred.
• Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, SharePoint).
• Prior experience with US healthcare providers or payers.
• Strong attention to detail with excellent follow-up and follow-through skills.
• Ability to make independent decisions, exercise discretion, and work autonomously.
• Demonstrates teamwork, integrity, and professionalism in all activities.
• Strong analytical and critical thinking skills.
• Safeguards patient health information in compliance with HIPAA standards.
• Aligns with Huron's vision, values, and professional standards in all decisions and practices.

Key Performance Indicators (KPIs)

• Timely completion of audits with feedback and actionable plans.
• Maintains high-quality standards for QA work.

About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds.

At MicroSourcing, equality is not merely a slogan - it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%

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Terms & conditions apply.