About the job Insurance Verification and Authorization (IV/Auth) Supervisor
APPROVED SIGN ON BONUS: PHP 75,000
External Job Title: Insurance Verification and Authorization (IV/Auth) Supervisor
Capability: Healthcare
Business Unit: Huron Managed Services
Level:
Reports To: Manager, IV/Auth
Work Location: Microsourcing Office, Taguig, Philippines
Work Shift: PH Night
POSITION SUMMARY:
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
The Insurance Verification and Authorization (IV/Auth) Supervisor is responsible for the day-to-day operations and oversight of insurance verification and authorization processes to support uninterrupted patient care and optimal revenue cycle performance. This supervisor ensures strong team performance and adherence to regulatory guidelines and payer requirements.
KEY RESPONSIBILITES:
Operational Oversight:
Supervise and support IV/Auth team including hiring, onboarding, scheduling, and performance management
Monitor daily workflows to ensure SLAs and KPIs (e.g., productivity, accuracy, and turnaround time). Adjusts work assignments as needed to ensure high risk populations are addressed timely and avoid backlogs.
Create action plans when metrics or performance is not meeting standards
Responsible for resolving at risk accounts escalated from staff in accordance with client policies
Implement process improvements to enhance efficiency and reduce denials and write-offs
Ensure timely resolution of IV/Auth related escalations, edits, and billing holds
Monitor and ensure departmental budget compliance
Effective and efficient organization and planning with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members
May be responsible for creating or participating in the creation of client facing metric scorecards and/or dashboards
Quality & Compliance:
Monitor IV/Auth audits and accuracy reviews, ensuring compliance with payer requirements and regulatory guidelines
Address IV/Auth related denials and partner with billing and A/R teams to identify and address root causes
Stay current with regulatory and IV/Auth updates and disseminate guidance to staff
Ensure IV/Auth policies and procedures are current and reflect the most compliant/accepted practices for IV/Auth functions
Collaboration & Support:
Work closely with clients and other departments to ensure clean claim generation
Maintain escalation protocols for urgent cases and payer disputes
Coordinate with IT on system optimization.
Provide regular performance reports and participate in client meetings
Education & Training
Provide regular IV/auth education for team development, especially as it relates to communicating payer policy changes
Mentor IV/Auth specialists to support succession planning and career development
Coordinating with Healthcare Providers:
Work closely with physicians, nurses, and other healthcare professionals to ensure timely and accurate documentation that reflects patients’ eligibility and authorization status. Obtain clarification as appropriate
Other duties and responsibilities as assigned.
QUALIFICATIONS:
Required Qualifications:
IV/Auth Supervisory Experience: At least 4 years US healthcare revenue cycle experience for insurance verification and authorization functions, At least 1+ years in healthcare supervisory role. Previous experience managing hybrid/remote teams preferred.
Education: Bachelor’s degree or equivalent in Business, Health Information Management, Healthcare Administration, or related field
RCM Knowledge: Strong knowledge of insurance verification, prior authorization, CPT/ICD-10 codes, and payer guidelines.
Software Knowledge: Proficiency with payer portals, eligibility and authorization tools (e.g., Availity) and electronic medical records (EMR) such as Epic, Cerner, or Meditech.
Excellent verbal and written English communication skills and customer service skills (CEFR level of at least B2 for both verbal and written)
Soft Skills
Proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members
Ability to pay close attention to details; strong follow-up and follow-through skills
Proven ability to regularly make complex decisions within the scope of the position, and is comfortable working independently
Proven ability to collaborate with team members and client counterparts to understand business challenges, adapt implementation methodologies and approaches to ensure results align with client’s business objectives
Demonstrated impact through professional written and verbal communication setting clear project team direction, develop key deliverables, escalate risks, and influence key stakeholders inclusive of client and internal senior leadership
Team leadership experience including building talent, training, supervising, coaching/mentoring, and performance management
Independent judgment, discretion and decision-making abilities
Demonstrates teamwork and integrity in all work-related activities
Ability to interact with internal and external customers in a professional manner
Strong analytical and critical thinking skills
Experience in a matrixed environment
Safeguard patient health information in compliance with HIPAA standards
Knows, understands, incorporates, and demonstrates Huron’s Vision, and Values in behaviors, practices, and decisions.
Preferred Qualifications:
Software Knowledge: Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, SharePoint). Proficiency with Data Analytics software (Tableau, PowerBI)
RCM Knowledge: Prior experience with US healthcare providers or payers