Verification of Benefits (VOB) Specialist
R
Remote RavenHealthcare
Philippines. Colombia. South Africa. Kenya, Willingness to overlap with US Mountain Time business hoursFull-Time
Salary6 USD per hour
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Job Details
- Languages
- English
- Required Skills
- HIPAA
Requirements
- Prior hands-on experience with insurance verification of benefits in a US healthcare setting
- Strong working knowledge of US commercial insurance (BCBS, Aetna, Cigna, UHC, Humana) and government payers (Medicare, Medicaid, Tricare)
- Knowledge of pre-authorization processes
- Direct experience using an EMR system to update face sheets and document insurance information
- Familiarity with COBRA continuation coverage and Affordable Care Act Marketplace plans
- Excellent attention to detail
- Effective verbal and written English communication
- Comfort on phone calls with US payers
- Demonstrated HIPAA awareness
- Reliable home internet
- Willingness to overlap with US Mountain Time business hours
Responsibilities
- Perform timely and accurate verification of benefits (VOBs) for all incoming clients across Detox, Residential, PHP, IOP, and OP levels of care
- Confirm coverage, benefit limitations, co-pays, deductibles, out-of-pocket maximums, exclusions, and pre-authorization requirements with each payer
- Input VOB findings into designated tracking systems and update the client's EMR face sheet with complete supporting documentation
- Communicate verified benefits clearly and promptly to admissions, billing, and clinical teams
- Conduct bi-weekly re-verification of all active client insurance policies on the 1st and the 16th of every month
- Monitor and track COBRA and Marketplace premium payments for active clients
- Maintain clear documentation of premium statuses and any outreach or action taken
- Audit client EMR face sheets for accurate and complete insurance information
- Enter client admission and discharge data into the billing system
- Maintain HIPAA compliance and protect patient confidentiality
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