Verification Specialist

Description

Reports to: Utilization Review Manager

Job Category: Hourly | Non-Exempt | Full-Time

Starting Salary: $20-$24 per hour

Job Site: Remote (must reside in Colorado)

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.

• High school diploma or equivalent required; associate or bachelor's degree preferred.
• Entry-level role; prior healthcare or insurance experience is a plus but not required.
• Interest in healthcare administration, behavioral health, or revenue cycle operations.

• 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.

• 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 elevate 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.
• Assist 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.

• 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.

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

• Competitive salary
• Employee recognition and rewards programs
• Employee referral incentive program
• Employer-sponsored 401(k) plan

• Professional growth and development
• Continuing education reimbursement
• Unlimited paid time off (exempt employees) + sick days
• Paid time off policy (non-exempt employees) + sick days
• Paid holidays (exempt) or ability to earn 1.5x base hourly rate (non-exempt)

* Full-time employees

This description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.