Insurance Verification Specialist

Job Summary

A company is looking for an Insurance Verification Specialist to manage benefits verification and insurance processes.

Key Responsibilities

• Run partial insurance verification upon referral intake
• Confirm in-network status and identify credentialed providers by department
• Maintain and update provider credentialing database and patient records with verified benefits information

Required Qualifications

• 1+ year experience in medical insurance verification or revenue cycle management
• Knowledge of behavioral health benefits and mental health billing
• Familiarity with EOBs, co-pays, deductibles, and in/out-of-network rules
• HIPAA knowledge and compliance awareness