Benefit Verification Specialist BH/MH - Remote Contract

Pro Med Healthcare Services

23d•Remote

About The Position

This is a fully remote contract position for a Benefit Verification Specialist focusing on Mental Health/Behavioral Health. The role involves verifying client insurance benefits, documenting plan details, confirming financial responsibilities, and ensuring compliance with company policies and regulatory requirements. The specialist will communicate benefit information accurately and manage patient documents, including insurance authorizations, while maintaining client privacy. The position also includes providing backup support to the Revenue Cycle team and attending meetings and training sessions.

Requirements

Associate’s Degree, or High School Diploma with 3–5 years of insurance billing and collections experience.
3–5 years of experience serving as a liaison between insurance companies and family members/guarantors.
Strong analytical and problem-solving skills.
High level of customer service.
Ability to receive and integrate feedback effectively.
Strong follow-through and attention to detail.
Excellent verbal and written communication skills.
Sound judgment and discretion.
Strong organizational and time-management skills.
Excellent interpersonal and relationship-building abilities.
Ability to prioritize and manage multiple responsibilities.
Proficiency in Microsoft Office applications.

Nice To Haves

Experience in Mental Health, Substance Use Disorder Treatment, or behavioral healthcare preferred.

Responsibilities

Verify client insurance benefit information.
Verify specific benefits and document plan details.
Confirm client financial responsibilities, including deductibles and co-insurance.
Communicate financial obligations with appropriate parties.
Identify coverage restrictions and limitations.
Ensure compliance with company policies and all regulatory requirements while protecting client privacy.
Communicate benefit information accurately and timely to team members.
Manage and upload patient documents, including insurance authorizations.
Accurately document information in applicable systems.
Review patient accounts.
Provide backup support to the Revenue Cycle team as needed.
Attend assigned team meetings and training sessions.
Perform other duties as assigned.