Medical Insurance Verification Specialist II

Make a Difference Where It Counts

Join a mission-driven nonprofit organization dedicated to supporting individuals and families across East Tennessee. This role is more than data entry — it’s about removing barriers to care by ensuring clients can access critical services without financial ambiguity. If you bring precision, insurance expertise, and a passion for helping people, this is your chance to align your career with purpose.

Position Overview

As a Medical Insurance Verification Specialist , you will be the first line of defense in confirming insurance eligibility, resolving billing obstacles, and supporting the reimbursement lifecycle for a wide array of behavioral health and social service programs. Your efforts directly impact service accessibility for vulnerable populations, and your diligence ensures operational efficiency across clinical teams.

Key Responsibilities

• Proactively verify insurance eligibility and benefits for upcoming client appointments using payer portals, clearinghouses, and internal systems
• Accurately update client benefit profiles and maintain real-time insurance data within the electronic medical record (EMR)
• Communicate patient responsibilities and coverage issues to front-line teams via HIPAA-compliant processes
• Identify and escalate issues such as lapses in coverage, authorization delays, or denial risks to billing and leadership teams
• Serve as a knowledgeable resource for staff and clients regarding insurance coverage questions, claims status, and billing processes
• Partner with clinical and administrative teams to ensure intake documentation is complete, accurate, and policy-aligned
• Monitor daily eligibility and non-payment reports, recommend resolution strategies, and contribute to continuous process improvements
• Collect patient financial responsibility when applicable and provide professional support in payment arrangements or financial counseling referrals
• Support write-off processes and A/R resolution efforts through detailed tracking, audit readiness, and compliance adherence

Qualifications & Skills

• Required: High school diploma or GED
• Experience: Minimum of 2 years working in medical insurance verification, revenue cycle, or medical billing in a healthcare setting
• Technical: Proficient in EMR systems, Microsoft Office (Word, Excel, Outlook), and payer-specific portals
• Knowledge Base: Working familiarity with Commercial, Medicare, Medicaid, and TennCare plans
• Soft Skills:
• Strong written and verbal communication
• Exceptional attention to detail and organizational skills
• Commitment to confidentiality and HIPAA compliance
• Ability to multitask, meet deadlines, and adapt in a fast-paced environment
• Collaborative mindset with a positive, solutions-oriented attitude