Insurance Verification and Authorization (IV/Auth) Specialist

Position

Insurance Verification and Authorization (IV/Auth) Specialist

Location

Taguig, Metro Manila, Philippines

Employment Type

Full‑Time, On‑Site, Night Shift (US time zones)

Salary

PHP 40,000 – 55,000 per month

Job Overview

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. The role ensures timely and accurate processing of authorization requests, coordinates with clinical teams, and maintains compliance with payer guidelines and HIPAA standards.

Responsibilities

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