Lead Insurance Verification Specialist

Equip HealthRemote - United States$64k – $80kYesterday

Remote Staff NA Insurance Mental Health Insurance Sales Agent Documentation Coaching Quality Assurance

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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. Ability to maintain and protect confidential 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.
A passion for living Equip’s mission and values.
Physical Demands
Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed.
At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip.

Responsibilities

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.

Benefits

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