Lead Insurance Verification Specialist

Equip Health

20h•Remote

About The Position

The Lead Insurance Verification Specialist (IVS) will be responsible for leading and supporting the IVS team through the patient admissions and ongoing treatment process. This role will serve as a player-coach, providing day-to-day guidance, quality oversight, and subject-matter expertise while also performing insurance verification work as needed. This individual will partner closely with Admissions, Utilization Management, Revenue Cycle Management (RCM), and Finance to ensure accurate, timely, and consistent insurance verification and benefit communication. This role brings deep insurance knowledge, strong organizational and communication skills, and a passion for building scalable processes in a fast-paced, collaborative environment. They are energized by coaching others, improving workflows, and ensuring insurance clarity that supports both patient experience and operational excellence.

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. Ability to maintain and protect confidential 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.
A passion for living Equip’s mission and values.

Responsibilities

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.