Equip

Eating disorder treatment that works—delivered at home. We're hiring!

Lead Insurance Verification Specialist

Full TimeRemoteTeam 201-500Since 2020H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

14 days ago

Salary

$64K - $80K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Lead the IVS team by providing daily guidance, training, and quality assurance to ensure performance metrics are met, while remaining ready to complete hands-on insurance verification tasks as needed. • Develop collaborative relationships and interface with insurance companies/payors to verify benefits and eligibility, including managing pushback and conflicting information. • Work collaboratively with the RCM, finance, accounting, admissions, and utilization management departments. • Act as a trusted subject-matter expert for insurance benefits, eligibility, and complexity. • Provide real-time guidance and escalation support for timely and accurate verifications. • Identify process gaps, inefficiencies, and error trends, translating them into practical improvements. • Lead onboarding for new Insurance Verification Specialists and deliver ongoing training to reinforce payor knowledge, standard work, system updates, and best practices as processes evolve. • Facilitate regular team meetings and one-on-one check-ins to provide guidance, address challenges, share updates, and ensure alignment on priorities and expectations. • Monitor individual and team performance against quality, accuracy, and productivity standards; provide timely coaching, feedback, and development support to drive consistent performance and continuous improvement. • Perform other duties as assigned.

Job Requirements

  • 5+ years of healthcare experience with billing, insurance verification, or utilization management required.
  • 2+ years of leading a team or relevant mentorship experience.
  • High proficiency in EMR/billing systems with excellent data accuracy and documentation.
  • Familiarity with HIPAA privacy requirements for patient information.
  • Deep expertise in behavioral health/healthcare insurance verification, benefits, eligibility, and payor rules.
  • Excellent organizational awareness, adaptability, and conflict management skills.
  • Strong understanding of authorizations, coverage nuances, and denial prevention.
  • Strong attention to detail and excellent communication skills (written and verbal).
  • Comfortable with fast-paced, ambiguous environments.

Benefits

  • Health insurance
  • Professional development opportunities

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