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Verification of Benefits Specialist

Role overview

Qualifications

  • At least 2-3 years of insurance experience in Verification of Benefits
  • Knowledge of active, valid policy coverage, specific services covered, payment percentages, co-pays, deductibles, and authorization requirements
  • Light billing collections experience preferred
  • Experience in Behavioral Health settings preferred

Responsibilities

  • Verifying insurance coverage and benefits for potential admissions using systems like Availity and Verify TX
  • Capturing thorough and accurate information for each verification of benefits (VOB)
  • Inputting insurance data into SalesForce with precision
  • Communicating professionally and courteously over the phone
  • Collaborating with team members to streamline efforts and avoid duplication
  • Running biweekly reports on current census insurance coverage
  • Triage urgent VOBs as directed by the admissions management team

Key facts

  • Remote from: United States
  • Full time
  • Mid-level (2-5 years)
  • Benefits Specialist
  • English

Hard skills

Other skills

  • Communication
  • Collaboration

About the company

Newport Healthcare logo

Newport Healthcare

Hospitals & Health Care

Behavioral health treatment including primary mental health concerns such as anxiety and depression and co-occurring disorders such as substance abuse, trauma-related issues, and eating disorders. Levels of care include residential, partial hospitalization/intensive outpatient programming, and day schools. Programs include Newport Academy for adolescents and Newport Institute for young adults.

Company details

Company typeLarge
IndustryHospitals & Health Care
Company size1001 - 5000

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Job description

What You’ll Do:
  • Verifying insurance coverage and benefits for potential admissions using systems like Availity and Verify TX, and reaching out to payers when necessary. 
  • Capturing thorough and accurate information for each verification of benefits (VOB). 
  • Inputting insurance data into SalesForce with precision. 
  • Communicating professionally and courteously over the phone. 
  • Collaborating with team members to streamline efforts and avoid duplication. 
  • Running biweekly reports on current census insurance coverage. 
  • Triage urgent VOBs as directed by the admissions management team. 
What Makes You a Great Fit:
  • At least 2-3 years of insurance experience required, in Verification of Benefits; to include active, valid policy coverage, specific services covered, payment percentages, co-pays, deductibles, and authorization requirements under the specific plans. 
  • Light billing & collections experience preferred and helfpul.
  • Experience in Behavioral Health settings preferred.
Additional Details: Excellent Full-Time-Remote position for an experienced Verification of Benefits Specialist. Prior experience of in-depth Verification of Benefits required and within Behavioral Health preferred.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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