Insurance Verification Specialist
Trusted Results Therapy Group•Charleston, SC
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
- Confirm in-network status and identify credentialed providers by department
- Complete full benefits verification once service type is confirmed
- Send invoice / EOB to client / patient at least 24-48 hours prior to their appointment
- Flag inactive, incorrect, or out-of-network insurance before patient contact
- 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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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
