Lead Insurance Verification Specialist
Equip
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $64,000 - $80,000 per year
Job Level
About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance verificationbilling systemsdata accuracydocumentationauthorizationscoverage nuancesdenial preventionprocess improvementquality assurancetraining
Soft Skills
leadershipmentorshiporganizational awarenessadaptabilityconflict managementattention to detailcommunicationcollaborationcoachingfeedback