Insurance Verification Specialist

This is a Fully Remote Job About Our Client:The organization operates licensed, accredited therapeutic programs in Utah, dedicated to supporting families through evidence-based practices developed over more than 30 years. It addresses the challenge of accessing mental health treatment for children, providing critical services to families seeking help in this area. About the Opportunity:The INSURANCE VERIFICATION SPECIALIST plays a vital role in facilitating access to mental health services by verifying insurance benefits, managing medical records, and ensuring compliance with regulations. This position supports families and clinical teams by clarifying coverage, handling insurance communications, and optimizing patient management and financial processes. Responsibilities:Verify benefits for commercial and Medicaid insurance related to behavioral health coverageRespond promptly to insurance exclusions and monitor trendsProcess requests for information and records from insurance companiesManage invoicing of co-pays, deductibles, private pay collections, and accounts receivableRecommend adjustments and coordinate outside collection activities per policyCollaborate with utilization review to ensure timely verification and medical record submissionParticipate in billing coordination meetings and provide operational feedbackAdvise on compliance measures to maximize revenueEnsure clinical documentation supports therapeutic interventionsMaintain thorough documentation of all activitiesEngage in performance improvement effortsHandle customer inquiries via phone and emailUse a lead management software system Requirements:High school diplomaAbility to pass background checksEligibility to work in the USAProficiency with basic computer programsEffective verbal and written communication skills in EnglishReflective listening and empathetic communicationExperience working remotely Preferred:Some college educationBilling and coding knowledgeExperience in treatment facilitiesExperience with commercial insurance Pay Range and Compensation Package:Hourly wage of $18-22 Benefits & Perks:Health, dental, vision, accident, critical illness, and other insurance plans available after probationEmployer contributions to Health Savings Account (HSA)Free Employee Assistance Program (EAP)Opportunities for professional development and certification Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.