Insurance Verification Specialist

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Verify in-network status and identify credentialed providers across various departments

• Conduct comprehensive benefits verification once the type of service is established

• Dispatch invoices / EOBs to clients / patients at least 24-48 hours ahead of their appointments

• Highlight inactive, incorrect, or out-of-network insurance prior to patient engagement

• Gather co-pay and deductible details based on service type

• Amend erroneous or missing insurance details — approximately 10–20% of referrals

• Sustain and refresh the provider credentialing database categorized by insurance

• Update patient records with all confirmed benefits information

⛳️ Requirements

• A minimum of 1 year experience in medical insurance verification or revenue cycle management

• Understanding of behavioral health benefits — noting that mental health billing varies from medical

• Acquainted with EOBs, co-pays, deductibles, and in/out-of-network regulations

• Detail-oriented with a high level of data entry accuracy

• Knowledge of HIPAA regulations and compliance standards

• Experience specifically in billing within behavioral health or psychiatric practices

• Certified Medical Reimbursement Specialist (CMRS) or a comparable credential

• Familiarity with South Carolina Medicaid and key commercial insurance plans

• Experience with multi-provider credentialing databases

🏝️ Benefits

• Comprehensive health insurance plans

• Competitive salary with performance-based incentives

• Opportunities for professional development and growth

• Supportive work environment with a focus on work-life balance