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Benefit Verification Jobs in Tennessee (NOW HIRING)

Design Verification Engineer

Knoxville, TN · On-site

$129K - $158K/yr

As a Design Verification Engineer, you will work across the full verification cycle - from ... Benefits that benefit you. We offer competitive pay and benefits designed to help you and your ...

As a Design Verification Engineer, you will work across the full verification cycle - from ... Benefits that benefit you. We offer competitive pay and benefits designed to help you and your ...

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Benefit Verification information

What is a benefit verification specialist?

Benefit verification specialists are professionals who confirm and validate a patient's insurance coverage and benefits before services are provided. They work with insurance companies, healthcare providers, and patients to ensure that medical procedures, medications, or treatments are covered under the patient’s health plan. Their role helps prevent unexpected costs, clarifies coverage details, and ensures smooth billing processes for both patients and providers.

What are the key skills and qualifications needed to thrive as a benefit verification specialist?

To thrive as a Benefit Verification Specialist, you generally need knowledge of insurance processes, familiarity with medical terminology, and experience in healthcare administration or a related field. Proficiency in benefit verification platforms, electronic health records (EHR) systems, and insurance portals is typically required. Strong attention to detail, effective communication, and problem-solving abilities are crucial soft skills for this role. These skills ensure accurate insurance verification, minimize claim denials, and support smooth patient access to care.

What are some common challenges faced in a benefit verification specialist role, and how can they be addressed?

Benefit Verification specialists often encounter challenges such as navigating complex insurance policies, managing tight deadlines for patient authorizations, and staying updated on frequently changing payer requirements. Effective communication with insurance companies and healthcare providers, attention to detail, and strong organizational skills are essential for overcoming these hurdles. Many specialists find that building relationships with payers and utilizing robust tracking systems help streamline the process and minimize errors.

What is the difference between Benefit Verification vs Benefit Specialist?

AspectBenefit VerificationBenefit Specialist
CredentialsTypically requires basic healthcare or insurance knowledge, sometimes certification in healthcare administrationRequires similar credentials, often with additional experience in benefits management
Work EnvironmentHealthcare offices, insurance companies, hospitalsInsurance companies, healthcare organizations, benefits departments
Job FocusVerifying patient or client benefits, eligibility, and coverage detailsManaging, analyzing, and processing employee or client benefits

Benefit Verification specialists primarily focus on confirming coverage details for patients or clients, ensuring accurate and timely information. Benefit Specialists handle broader benefits management, including enrollment, claims, and policy interpretation. While both roles require healthcare or insurance knowledge, Benefit Verification is more about data validation, whereas Benefit Specialists manage overall benefits programs.

What does a benefit verification specialist do?

A benefit verification specialist reviews and confirms patients' insurance coverage and benefits to ensure services are authorized and billed correctly. They communicate with insurance companies, verify eligibility, and maintain accurate records, often using specialized software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Benefit Verification jobs in Tennessee?

For Benefit Verification jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Benefit Verification jobs in Tennessee look for?

The top searched job categories for Benefit Verification jobs in Tennessee are:

Infographic showing various Benefit Verification job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution.

Lead Verification of Benefits Specialist

Charlie Health Behavioral Health Operations

Nashville, TN • Hybrid

$53K - $60K/yr

Full-time

Posted 27 days ago


Job description

About the Role

The Verification of Benefits Team Lead serves as an operational leader and subject matter expert within the Revenue Cycle Management department. In addition to maintaining an individual verification workload, this role partners closely with VOB leadership to support daily operations, guide teammates through complex insurance scenarios, and drive consistency across verification workflows.

The Team Lead plays a key role in ensuring accurate and timely insurance verification while supporting team productivity, quality, and operational excellence. This position serves as a trusted resource for teammates, assists with onboarding and training initiatives, helps triage complex benefit issues and escalations, and collaborates cross-functionally with Admissions, Utilization Review and other RCM departments.

This role is ideal for someone who enjoys balancing hands on insurance verification with leadership responsibilities, process improvement, and mentoring others in a fast-paced, mission driven environment.

Responsibilities
  • Maintain a modified individual workload verifying complex commercial, government, or managed care benefits
  • Obtain, analyze, and accurately document insurance benefits, policy limitations, authorization requirements, and coverage details within Salesforce to support financial and admission decisions
  • Serve as the primary operational resource for complex insurance scenarios, benefit escalations, and workflow questions
  • Partner with VOB Leadership to monitor daily queues, distribute workloads, and ensure timely turnaround times for urgent admissions
  • Review complex VOB cases and assist with workflow triage to ensure timely, accurate benefit verification and reimbursement while promoting quality and consistency across the team
  • Support the onboarding of new hires, provide ongoing coaching, and assist leadership with quality assurance audits
  • Collaborate with Admissions, Utilization Review, Billing, Patient Finance, and other cross-functional teams to resolve insurance-related issues and improve operational efficiency
  • Investigate escalated insurance billing inquiries and benefit discrepancies and partner with the appropriate teams toward resolution
  • Participate in audits, reporting, operational initiatives, and other special projects
  • Other duties as assigned
Requirements
  • 3+ years of experience in behavioral health, substance abuse, or healthcare insurance verification and billing required
  • Demonstrated expertise interpreting complex insurance benefits, authorization requirements, and payer policies
  • Previous experience serving as a team lead, trainer, mentor, or in another informal leadership capacity preferred
  • Strong understanding of healthcare reimbursement, insurance verification workflows, and payer processes
  • Excellent critical thinking and problem-solving skills with the ability to navigate complex insurance scenarios and resolve escalated issues
  • Strong organizational and time management skills with the ability to prioritize competing priorities in a fast-paced environment
  • Excellent written and verbal communication skills with the ability to collaborate effectively across cross-functional teams
  • Proven ability to coach, mentor, and support teammates while fostering a collaborative team environment
  • Exceptional attention to detail and commitment to accuracy
  • Ability to maintain confidentiality and exercise sound judgment when handling protected health information
  • Experience working within Salesforce and insurance portals
  • Able to work a hybrid schedule of four days per week in our Nashville office and reside within 75 minutes' commuting distance of the office
Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.#LI-HYBRID

Additional Information

The total target base compensation for this role will be between $53,000 and $60,000 per year at the commencement of employment. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits.

Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota.