Benefits & Eligibility Specialist | $26.00–$27.00 per Hour | Monday – Friday, 8:00 AM – 5:00 PM | Remote | Temporary-to-Hire
What Matters Most
- Competitive Pay of $26.00–$27.00 per hour
- Schedule: Monday – Friday, 8:00 AM – 5:00 PM
- Work Arrangement: Remote
- Temporary-to-hire opportunity with career growth and stability
- Weekly Pay with direct deposit or pay card
- When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program
Job Description
We are seeking an experienced Benefits & Eligibility Specialist to support the Revenue Cycle Management (RCM) operations of a growing healthcare organization. This position is responsible for verifying patient insurance coverage, interpreting behavioral health benefits, identifying coverage limitations, and ensuring accurate documentation before services are provided. The ideal candidate will have strong knowledge of commercial and government insurance plans, excellent analytical skills, and the ability to independently resolve discrepancies while maintaining accurate patient records.
Responsibilities
- Verify patient insurance eligibility and benefits through payer portals, electronic verification tools, and direct payer communication.
- Review behavioral health coverage, including deductibles, copays, coinsurance, network participation, benefit limitations, carve-outs, and authorization requirements.
- Communicate verified benefits and estimated financial responsibilities to patients clearly and professionally while maintaining HIPAA compliance.
- Investigate and resolve eligibility discrepancies, incomplete verification results, and potential billing issues before scheduled appointments.
- Maintain accurate benefit documentation, manage verification work queues, and ensure compliance with established workflows, quality standards, and deadlines.
- Collaborate with RCM, clinical, and scheduling teams to resolve coverage concerns, escalate complex issues, and support accurate claims processing.
Qualifications and Requirements
- Minimum of 3 years of experience in healthcare insurance eligibility verification, benefits investigation, patient access, or revenue cycle management required.
- High school diploma or equivalent required.
- Strong knowledge of commercial insurance, Medicare, Medicaid, and managed care plans.
- Experience interpreting insurance eligibility responses, deductibles, copays, coinsurance, network rules, and patient financial responsibilities.
- Proficiency with payer portals and electronic insurance verification platforms.
- Familiarity with medical billing terminology, CPT codes, and authorization requirements.
- Strong analytical, organizational, problem-solving, and written communication skills.
- Ability to independently manage work queues, resolve discrepancies, and consistently meet deadlines.
- Experience handling protected health information in compliance with HIPAA regulations.
- Behavioral health, therapy, or psychiatric benefits verification experience preferred.
- Experience with pVerify, Availity, Candid, EHR systems, or automated verification workflows preferred.
- Knowledge of behavioral health carve-outs, provider credentialing, payer enrollment, and eligibility-related claim denials is a plus.
Benefits and Perks
- Pay rate: $26.00–$27.00 per hour
- Medical Benefits
- Weekly Pay
- Training & Growth
- Temporary-to-hire opportunity
Your New Organization
Join a growing healthcare organization dedicated to expanding access to mental health services for women and families. You'll support a collaborative Revenue Cycle Management team focused on accurate insurance verification, clear patient communication, and efficient billing operations.
Your Career Partner
Team1Medical, a Reserves Network company, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.
In the spirit of transparency, we want to share the hourly pay range for this position is $26.00–$27.00 per hour, excluding benefits, bonuses, or other compensation. If you are hired, your hourly pay rate will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full hourly pay range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.