Verification of Benefits, Specialist

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Remote Raven

WebsiteLinkedInAll Job Openings

11 - 50 employees

👥 HR Tech

🎯 Recruiter

🤝 B2B

HR Tech • Recruitment • B2B

Remote Raven is a company that connects businesses with highly qualified virtual assistants to fill various roles across multiple industries. They focus on providing professional, college-educated, and well-trained remote workers from the Philippines who can handle diverse tasks, including customer service, bookkeeping, digital marketing, HR, healthcare, and web development among others. Remote Raven ensures that these remote workers are fluent in English and hold relevant degrees or certifications. They offer a simple and affordable recruiting process without start-up fees, aiming to help companies streamline their staffing needs with reliable remote personnel.

📋 Description

• 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 to enable smooth intake and continuous care coordination • Conduct bi-weekly re-verification of all active client insurance policies on the 1st and the 16th of every month, identifying and addressing changes, lapses, or terminations • Monitor and track COBRA and Marketplace premium payments for active clients on those coverage types, communicating any lapses or pending payments that may affect continued coverage • Maintain clear documentation of premium statuses and any outreach or action taken with clients or internal teams • Audit client EMR face sheets for accurate and complete insurance information during lower-volume periods • Enter client admission and discharge data into the billing system when the Hybrid Billing Coordinator is unavailable or at capacity • Assist with initial claim follow-ups for basic eligibility denials or coverage mismatches as needed • Upload VOB documentation to the client's EMR face sheet in collaboration with the Hybrid Billing/VOB Specialist • Complete special assignments and other duties as requested by the supervisor • Maintain HIPAA compliance and protect patient confidentiality at every step of the workflow

🎯 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) including 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, and how premium payment status affects active coverage • Excellent attention to detail with the ability to spot missing or contradictory benefit information • Effective verbal and written English communication, including comfort on phone calls with US payers and async 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 • VOB experience specifically in behavioral health, mental health, or substance use treatment settings (Nice to Have)

🏖️ Benefits

• 100% remote, full-time role with a US-based behavioral health team • USD $6/hour compensation • Defined ownership of the VOB workflow and a clear path into broader revenue cycle responsibilities • A team that values accuracy, async clarity, and people who close the loop without being chased