Eligibility and Benefits Verification Specialist - Valant (FL)

This is a remote position. Job SummaryRCM Staff BPO is hiring a full-time Eligibility and Benefits Verification Specialist to support a behavioral health practice based in Florida. The specialist verifies insurance coverage and behavioral health benefits before every session, working inside the practice's EHR so eligibility is confirmed ahead of each appointment. This role requires strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans, including behavioral health benefits and payer carve-outs.Key Responsibilities Verify insurance eligibility before scheduled sessions, confirming active coverage, plan type, copay, coinsurance, and deductible Verify behavioral health benefits and identify carve-outs managed by separate payers, such as Optum, Carelon, Magellan, and Evernorth Track session limits and re-authorization needs, flagging caps and benefit maximums before they lapse Confirm telehealth coverage by payer, plan, and U.S. state Complete daily verification runs for upcoming appointments before the schedule opens Contact payers through portals and by phone to confirm details that require follow-up Document eligibility, benefit details, authorization numbers, and effective dates directly in the practice's EHR Escalate coverage issues and discrepancies to the practice team promptly Protect patient information and follow HIPAA requirements Qualifications At least 1 year of experience with U.S. healthcare insurance, including eligibility and benefits verification Experience initiating and tracking prior authorizations Familiarity with commercial insurance and government health plans Experience using payer portals and insurance websites Strong written and spoken English Excellent attention to detail and follow-up skills Ability to work independently and manage multiple patient accounts Reliable internet connection and a suitable remote workspace Preferred Qualifications Experience supporting behavioral health, mental health, or telehealth practices Experience verifying behavioral health benefits and carve-outs (Optum, Carelon, Magellan, Evernorth) Experience using ValantEHR Familiarity with Florida insurance plans (Aetna, Cigna/Evernorth, UHC/Optum, Florida Blue, Medicare) Experience confirming telehealth coverage and tracking session limits and re-authorizations Schedule Full-time position Must be available during U.S. Eastern Time business hours (Monday–Friday) Final schedule will be determined based on practice needs Work Arrangement Remote Philippines-based applicants preferred Originally posted on Himalayas