Verification of Benefits (VOB) Specialist

22 hours, 53 minutes ago
Full-time
Junior
Operations
Remote Raven

Remote Raven

Remote Raven connects clients with highly qualified virtual assistants to quickly fill positions, enabling businesses to focus on core activities with no start-up fees.

Professional Services
11-50

Description

  • Perform timely and accurate verification of benefits for incoming clients across Detox, Residential, PHP, IOP, and Outpatient levels of care.
  • Confirm coverage details, benefit limitations, co-pays, deductibles, out-of-pocket maximums, exclusions, and pre-authorization requirements with each payer.
  • Enter verification findings into tracking systems and update client EMR face sheets with complete supporting documentation.
  • Communicate verified benefits clearly and promptly to admissions, billing, and clinical teams to support intake and care coordination.
  • Re-verify all active client insurance policies twice a month on the 1st and 16th to identify lapses, terminations, or coverage changes.
  • Monitor COBRA and Marketplace premium payments and document any lapses, pending payments, or related outreach.
  • Audit EMR face sheets for accurate and complete insurance information during lower-volume periods.
  • Enter client admission and discharge data into the billing system when needed and assist with basic eligibility-based claim follow-ups.
  • Upload VOB documentation to the client's EMR face sheet and complete special assignments as requested.
  • Maintain HIPAA compliance and protect patient confidentiality throughout the workflow.

Requirements

  • Prior hands-on experience with insurance verification of benefits in a US healthcare setting.
  • Strong working knowledge of US commercial insurers such as BCBS, Aetna, Cigna, UHC, and Humana, as well as Medicare, Medicaid, and Tricare.
  • Direct experience using an EMR system to update face sheets and document insurance information.
  • Familiarity with COBRA continuation coverage and ACA Marketplace plans, including how premium payment status affects active coverage.
  • Excellent attention to detail and the ability to spot missing or contradictory benefit information.
  • Strong verbal and written English communication skills, including comfort speaking with US payers and providing written handoffs to internal teams.
  • Ability to work independently, prioritize a daily queue, and meet turnaround expectations in a fast-paced environment.
  • Demonstrated HIPAA awareness and respect for patient confidentiality.
  • Reliable home internet, a quiet remote work environment, and willingness to overlap with US Mountain Time business hours.
  • Behavioral health, mental health, or substance use treatment VOB experience is preferred.
  • Working knowledge of behavioral health benefit structures such as parity, level-of-care criteria, concurrent review, and pre-authorization for SUD/MH services is preferred.
  • Experience with healthcare billing systems and initial claim follow-up on eligibility-based denials is preferred.

Benefits

  • 100% remote, full-time role with a US-based behavioral health team.
  • USD $6/hour compensation.
  • Clear ownership of the VOB workflow with a path into broader revenue cycle responsibilities.
  • A team culture that values accuracy, async clarity, and follow-through.
  • Interview scheduling within a US Mountain Standard Time window of 3:00 AM to 1:00 PM MST to accommodate time zone differences.

Interested in this position?

Apply directly on the company website

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