Summary: The Benefit Verification Specialist is responsible for verifying, documenting, and maintaining accurate patient insurance and benefit information to support timely access to care and compliant billing within a Federally Qualified Health Center (FQHC). This role ensures eligibility verification, benefit coverage confirmation, prior authorization support, and coordination with clinical, front desk, and billing teams. The specialist plays a critical role in revenue cycle integrity, patient access, and financial transparency while adhering to HRSA, CMS, Medicaid, Medicare, and payer regulations.

Education: High School Diploma or GED required.
Associate’s degree in Healthcare Administration, Health Information Management, Business, or a related field preferred.

Experience: Minimum of 1–3 years of experience in insurance verification, patient access, billing, or revenue cycle operations in a healthcare setting preferred.

Licenses, Certification and/or Registration: No license required.
Professional certifications such as Certified Revenue Cycle Representative (CRCR), Certified Healthcare Access Associate (CHAA), or Certified Professional Biller (CPB) are preferred but not require.