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Remote Raven

Grow Your Business Seamlessly & Cost Effectively.

Verification of Benefits, Specialist

Human ResourcesHuman ResourcesFull TimeRemoteSeniorTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

Philippines

Posted

2 days ago

Salary

$6 / hour

Seniority

Senior

High SchoolEnglishPHP

Job Description

Verification of Benefits, Specialist

Remote Raven

• 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

Job 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

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