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