Insurance Verification Specialist

Trusted Results Therapy GroupCharleston, SC
1d$18 - $24Remote

About The Position

Benefits verification & insurance management · all departments | $17-22/ hr

Requirements

  • 1+ year experience in medical insurance verification or revenue cycle management
  • Knowledge of behavioral health benefits — mental health billing differs from medical
  • Familiarity with EOBs, co-pays, deductibles, and in/out-of-network rules
  • Detail-oriented with strong data entry accuracy
  • HIPAA knowledge and compliance awareness

Nice To Haves

  • Experience specifically in behavioral health or psychiatric practice billing
  • Certified Medical Reimbursement Specialist (CMRS) or similar credential
  • Familiarity with South Carolina Medicaid and major commercial plans
  • Experience with multi-provider credentialing databases

Responsibilities

  • Run partial insurance verification immediately upon referral intake
  • Confirm in-network status and identify credentialed providers by department
  • Flag inactive, incorrect, or out-of-network insurance before patient contact
  • Complete full benefits verification once service type is confirmed
  • Obtain co-pay and deductible information by service type
  • Rework incorrect or missing insurance information — approx. 10–20% of referrals
  • Maintain and update provider credentialing database by insurance
  • Update patient records with all verified benefits information
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