Insurance Verification Specialist

Insurance Verification Specialist

Benefits verification & insurance management · all departments | $17-22/ hr 

Key responsibilities

Run partial insurance verification immediately upon referral intake

Confirm in-network status and identify credentialed providers by department

Flag inactive, incorrect, or out-of-network insurance before patient contact

Complete full benefits verification once service type is confirmed

Obtain co-pay and deductible information by service type

Rework incorrect or missing insurance information — approx. 10–20% of referrals

Maintain and update provider credentialing database by insurance

Update patient records with all verified benefits information

Required qualifications

1+ year experience in medical insurance verification or revenue cycle management

Knowledge of behavioral health benefits — mental health billing differs from medical

Familiarity with EOBs, co-pays, deductibles, and in/out-of-network rules

Detail-oriented with strong data entry accuracy

HIPAA knowledge and compliance awareness

Preferred qualifications

Experience specifically in behavioral health or psychiatric practice billing

Certified Medical Reimbursement Specialist (CMRS) or similar credential

Familiarity with South Carolina Medicaid and major commercial plans

Experience with multi-provider credentialing databases