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billing hipaa emr insurance verification rcm📋 Description
- Lead the IVS team with daily guidance, training, and QA; hands-on tasks as needed.
- Develop relationships with insurance companies/payors to verify benefits and eligibility; manage conflicts.
- Collaborate with RCM, finance, accounting, admissions, and utilization management.
- Act as trusted SME for insurance benefits, eligibility, and complexity.
- Provide real-time guidance and escalation support for verifications.
- Identify process gaps and translate them into practical improvements.
🎯 Requirements
- 5+ years healthcare experience in billing, insurance verification, or utilization management.
- 2+ years leading a team or mentorship.
- High proficiency in EMR/billing systems with strong data accuracy.
- Familiarity with HIPAA privacy requirements and confidentiality.
- Deep expertise in behavioral health insurance verification, benefits, eligibility, payor rules.
- Strong communication, organizational, adaptability, and conflict-management skills.
🎁 Benefits
- 100% remote work from home with no travel required.
- Collaborative, mission-driven culture with DEIB initiatives.
- Opportunities for onboarding, training, and career growth.
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