Verification Specialist

2 days, 23 hours ago
Full-time
Mid Level
Customer and Technical Support
Remote Raven

Remote Raven

Remote Raven connects clients with highly qualified virtual assistants to quickly fill positions, enabling businesses to focus on core activities with no start-up fees.

Professional Services
11-50

Description

  • Perform timely and accurate verification of benefits for incoming clients across all levels of care, including Detox, Residential, PHP, IOP, and OP.
  • Confirm coverage details such as benefit limitations, co-pays, deductibles, out-of-pocket maximums, exclusions, and pre-authorization requirements.
  • Enter verification findings into tracking systems and update the client’s EMR face sheet with supporting documentation.
  • Communicate verified benefits to admissions, billing, and clinical teams to support intake and care coordination.
  • Conduct bi-weekly re-verification of active client insurance policies on the 1st and 16th of each month.
  • Identify and address changes in coverage, lapses, or terminations promptly.
  • Monitor and track COBRA and Marketplace premium payments for active clients and document payment status and outreach.
  • Complete special assignments and other duties as requested by the supervisor.
  • Audit client EMR face sheets for accurate and complete insurance information during low-volume periods.
  • Assist with admission and discharge data entry into the billing system and help with basic claim follow-ups when needed.

Requirements

  • Prior experience with insurance verification, preferably in a behavioral health or substance use treatment setting.
  • Strong understanding of commercial and government insurance policies, including pre-authorization processes and behavioral health benefits.
  • Familiarity with COBRA and Marketplace plans and their impact on ongoing treatment coverage.
  • Experience with EMR and billing systems.
  • Excellent attention to detail and organizational skills.
  • Effective verbal and written communication skills.
  • Ability to work independently and prioritize tasks in a fast-paced environment.
  • HIPAA compliance and respect for patient confidentiality.
  • Full-time availability.
  • 100% remote work.
  • Compensation of $6/hour.

Interested in this position?

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