Lead Insurance Verification Specialist
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.
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
Apply Now
Apply Now
• 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.
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
Apply Now
Apply Now