Insurance Verification and Authorization (IV/Auth) Specialist

Full-time Management & Operations

Position: Insurance Verification and Authorization (IV/Auth) Specialist

Location: BGC, Taguig City

Work setup & shift: Onsite | Night shift

Your Role

The Insurance Verification and Authorization (IV/Auth) Specialist verifies eligibility and initiates and/or follows up on prior authorization requests with insurance companies, providers, and patients in the US. They ensure timely and accurate processing of authorization requests, coordinate with clinical teams, and maintain compliance with payer guidelines and HIPAA standards. Excellent communication skills, attention to detail, and strong analytical and problem‑solving abilities are essential for success in this role.

Responsibilities

• Insurance Verification
  • Verify insurance and benefit eligibility for patient services
• Authorization
  • Review clinical documentation and insurance guidelines to determine authorization requiremen...