Lead Insurance Verification Specialist

Job Description: • 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. • Perform other duties as assigned. 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. • 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. Benefits: • Health insurance • Professional development opportunities Apply tot his job Apply To this Job