Benefits Verification Specialist

Benefits

• Health and Wellness Medical, dental and vision insurance
• Supplemental accident and hospital indemnity coverage
• Voluntary Term Life insurance
• Employee Assistance Program
• Monthly wellness reimbursement

Pay

$20-$24 per hour

Schedule

Remote (must reside in Colorado)

Job Summary

The Benefits Verification Specialist is responsible for verifying insurance benefits and eligibility for prospective and current patients. This entry-level role supports the admissions and clinical teams by ensuring accurate benefit information, timely communication, and proper documentation to facilitate access to behavioral health services.

Required Skills/Abilities

• Attention to detail and accuracy
• Professional and empathetic communication
• Strong organizational and communication skills
• Ability to follow processes and meet deadlines
• Willingness to learn and accept feedback
• Ability to work collaboratively in a team environment
• Basic knowledge of insurance terminology preferred
• Comfortable using computers and learning new systems

Duties/Responsibilities

• Verify insurance eligibility and behavioral health benefits with commercial and government payors
• Document benefit details including coverage, deductibles, copays, coinsurance, and authorization requirements
• Communicate benefit information clearly to admissions, clinical staff, and patients as needed
• Maintain accurate records in the electronic health record or admissions system
• Identify coverage limitations and escalate complex benefit issues to leadership
• Follow internal workflows and payor-specific guidelines
• Support admissions and utilization review teams with benefit-related questions
• Maintain confidentiality and comply with HIPAA and organizational policies
• Affiliate with administrative tasks related to intake and insurance verification
• Participate in training and ongoing learning related to payors and behavioral health services
• Other duties as assigned

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer
• Standing, sitting, bending, reaching
• Must be able to see, hear, talk, read, write, type
• Exposure to clinical and medical environments
• Must be able to lift 15 pounds at times
• Driving in all weather conditions