Insurance Verification Specialist

About the organization

Elite DNA Behavioral Health is among Florida’s largest behavioral and mental health service providers and is growing rapidly. The organization focuses on delivering accessible, high-quality care while supporting staff in a professional environment that encourages development and long-term growth.

This position is a full-time Insurance Verification Specialist role based in Fort Myers, Florida.

Elite DNA uses a coordinated care model for mental health, matching patients with the most suitable services and providers before direct treatment begins. Its services span psychotherapy, psychiatry, psychosocial rehabilitation, EMDR, and group therapy.

The company’s work is shaped by integrity, compassion, and a commitment to improving life for children, adults, and families in the communities it serves.

Role overview

In this position, you will help ensure insurance information is accurate and coverage is confirmed before patients receive care. The role supports clean billing, timely authorizations, and a positive patient experience through careful communication and attention to detail.

Key responsibilities

• Confirm patient insurance coverage and benefits before services are delivered.
• Collect and record insurance details accurately from patients and payers.
• Read insurance policies to identify coverage terms and authorization needs.
• Communicate with patients, insurers, and healthcare staff about coverage or authorization questions.
• Help investigate and resolve billing mismatches and claim denials tied to insurance issues.
• Stay current on insurance rules, procedures, and regulatory requirements.
• Protect patient data by following privacy and confidentiality standards.

Skills and qualifications

• High school diploma or equivalent; healthcare administration or insurance certification is a plus.
• Background in insurance verification, billing, patient access, registration, or a related healthcare function.
• Working knowledge of insurance plans, coding, and billing processes.
• Strong verbal and written communication skills.
• Excellent accuracy, organization, and follow-through.
• Comfort working both independently and collaboratively in a busy setting.
• Experience using EHR platforms and billing systems.

Requirements

• High school diploma or equivalent required; an associate or bachelor’s degree is preferred.
• At least 1 year of experience in insurance verification, patient access, registration, medical billing, or healthcare revenue cycle work is preferred.
• Experience handling commercial, Medicare, Medicaid, and managed care plans is preferred.
• Behavioral health experience is strongly preferred.
• Knowledge of prior authorization workflows and payer rules is preferred.
• Ability to manage priorities and meet deadlines in a fast-paced environment.
• Proficiency with Microsoft Office and electronic health record systems.
• Athenahealth experience is helpful but not mandatory.

Competencies

• Careful attention to detail
• Customer service mindset
• Critical thinking
• Time management
• Problem solving
• Team collaboration
• Professional communication
• Accountability
• Adaptability
• Confidential handling of sensitive health information

Working conditions

• The role is primarily office-based and involves extended sitting and computer work.
• Occasional phone contact with patients, insurance companies, and provider offices may be required.
• Maintaining confidentiality of protected health information is essential at all times.

Why this role may appeal to you

Elite DNA offers a supportive, growth-focused workplace with competitive benefits and room for career advancement in healthcare. The organization values professionalism, collaboration, and continuous improvement while aiming to make a meaningful difference in the communities it serves.