Lead Insurance Verification Specialist

Job Summary

A company is looking for a Lead Insurance Verification Specialist.

Key Responsibilities

• Lead and support the Insurance Verification Specialist team, providing guidance and quality oversight
• Develop relationships with insurance companies to verify benefits and eligibility
• Identify process gaps and implement improvements for efficiency and accuracy

Required Qualifications

• 5+ years of healthcare experience in billing, insurance verification, or utilization management
• 2+ years of team leadership or mentorship experience
• High proficiency in EMR/billing systems with a focus on data accuracy
• Deep expertise in behavioral health insurance verification and payor rules
• Familiarity with HIPAA privacy requirements and strong understanding of authorizations and coverage nuances