Regulatory Affairs Specialist (Compliance Specialist)

Thank you for considering a career at Bon Secours Mercy Health! Scheduled Weekly Hours: 40 Work Shift: 8pm to 5am (Philippines) Flexibility in schedule / Shifting Primary Function/General Purpose of Position The Regulatory Coordinator is responsible for overseeing payer requirements and authorization processes for infusion services to ensure compliance and timely patient care. This role coordinates documentation, verifies active orders and authorizations prior to patient appointments, and communicates with internal and external stakeholders to resolve issues. The position supports efficient infusion intake operations while maintaining regulatory and payer compliance. Essential Job Functions ​ List the essential functions for the job. Essential functions are the reason a job exists. Review department appointment records to ensure required authorizations are complete prior to scheduled services. Coordinate and document payer authorization decisions for infusion services. Maintain accurate and complete documentation for all infusion intake activities. Communicate with providers, payers, and internal teams to ensure compliance with authorization requirements. Identify and resolve authorization and documentation discrepancies. Ensure all services have appropriate authorization prior to patient appointments. Coordinate shipping and receiving of externally supplied medications. Support compliance with organizational policies, regulatory standards, and payer requirements. Participate in meetings and collaborate with cross-functional teams to improve workflows. Perform additional duties as assigned to support department operations. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification N/A (required) N/A (preferred) Education High School Diploma or GED (required) Associate’s Degree (preferred) - Specialty/Major: Healthcare Administration, Business, or related field Work Experience At least 1 year of experience in insurance authorization, healthcare billing, or related field (required) 2–3 years of experience in infusion services, revenue cycle, or prior authorization processes (preferred) Training On-the-job training in payer authorization processes, internal systems, and compliance standards (required) Training in healthcare revenue cycle systems and payer authorization platforms (preferred) Language N/A (required) Spanish or other languages based on patient population (preferred) As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Comprehensive HMO medical coverage, retirement plan and group life and accident insurance One-time Work From Home allowance, connectivity allowance, wellness allowance and role-specific allowances Paid vacation and sick leave Government-mandated benefits: SSS, PhilHealth and Pag-IBIG contributions Flexible working model with hybrid, onsite or virtual arrangements (based on role and business need) Mission-driven culture events, community outreach and service opportunities Learning and development programs, mentorship and clear career growth pathways Modern, collaborative office spaces and regular engagement and culture-building activities Benefits may vary based on employment terms and role. Department: Human Resources - Talent Acquisition - BSMH Global Business Systems It is our policy to comply with all applicable Philippine labor laws and regulations and to uphold equal employment opportunity in all aspects of recruitment and employment. All applicants will be considered for employment based on merit, qualifications, and business requirements, without regard to race, color, ethnicity, religion, sex, sexual orientation, gender identity or expression, civil status, age, disability, genetic information, nationality, or any other status protected under Philippine law. We are committed to providing an inclusive workplace free from unlawful discrimination and harassment. If you are a person with a disability and require reasonable accommodation as part of the application or selection process, please contact the Talent Acquisition Team at [email protected] . We will work with you to provide appropriate assistance in accordance with applicable laws and company policy.