Verification Specialist
R
Remote RavenBehavioral health
PhilippinesFull-Time
SalaryAt least 6 USD per hour
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Job Details
- Required Skills
- Attention to detailOrganizational skillsWritten communicationVerbal communication
Requirements
- Prior experience with insurance verification, preferably in a behavioral health or substance use treatment setting.
- Strong understanding of commercial and government insurance policies, including pre-authorization processes and behavioral health benefits.
- Familiarity with COBRA and Marketplace plans and their impact on ongoing treatment coverage.
- Experience with EMR and billing systems.
- Excellent attention to detail and organizational skills.
- Effective verbal and written communication skills.
- Ability to work independently and prioritize tasks in a fast-paced environment.
- HIPAA compliance and respect for patient confidentiality.
Responsibilities
- Perform timely and accurate verification of benefits (VOBs) for all incoming clients across all levels of care (Detox, Residential, PHP, IOP, OP).
- Confirm insurance coverage, benefit limitations, co-pays, deductibles, out-of-pocket maximums, exclusions, and pre-authorization requirements.
- Accurately input VOB findings into designated tracking systems and update the client’s EMR face sheet with supporting documentation.
- Communicate verified benefits clearly to the admissions, billing, and clinical teams to support smooth intake and ongoing care coordination.
- Conduct bi-weekly re-verification of all active client insurance policies: On the 1st of every month, Again on the 16th (or mid-month).
- Identify and address any changes in coverage, lapses, or terminations promptly.
- Monitor and track COBRA and Marketplace premium payments for active clients who rely on these coverage types.
- Communicate with clients or internal teams regarding lapses, pending payments, or terminations that may impact continued coverage or billing.
- Maintain clear documentation of premium statuses and any outreach or action taken.
- Complete special assignments and responsibilities as requested by supervisor.
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