Benefits Verification Specialist

Job Description

Job Description

Description:

Benefits Verification Specialist

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)

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.

Education and Experience:

• 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.

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.
• 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.

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.

Benefits & Perks:

Health and Wellness

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

Financial

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

Work/Life Perks

• 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. 

Accepting applications on an ongoing basis.