What are the responsibilities and job description for the Insurance Verification Specialist position at Archstone Behavioral Health?
The Verification of Benefits Specialist (VOB) is an integral role within the Revenue Cycle. The VOB Specialist researches payer status and determines insurance coverage specifically for substance abuse and mental health benefits. The Verification of Benefits Specialist is responsible for researching and evaluating network status, eligibility, authorization requirements, deductibles, coinsurance, out of pocket maximums, copays, exclusions, limitations, and any other requirements of the plan. They are responsible for clearly and precisely documenting all relevant information for two Behavioral Health Facility’s located in Florida and Texas. During slow times VOB Specialist may be asked to assist the AR team with claims follow up.
RESPONSIBILITIES
- Research and evaluate new patient insurance information, including network status, effective dates, deductibles, coinsurance, copays, maximum out of pockets, authorization requirements, claims address, electronic payer ID, exclusions, limitations, and any other requirements of the plan for all applicable levels of care
- Effectively communicate with all interested parties regarding patient insurance benefit information, referrals, requirements, and any other pertinent information needed to accurately and efficiently complete their workflows.
- Prioritize, emails, and other tasks efficiently and timely to meet deadlines. Identify and prioritize urgent cases when needed.
- Maintain thorough knowledge of insurance, contracts, and authorization processes.
- Identify incomplete or questionable information that will require further follow-up with insurance via a phone call.
- Perform other duties as assigned.
REQUIRED EXPERIENCE AND QUALIFICATIONS
- High school diploma or GED.
- Verification on benefits experience required.
- Knowledge of behavioral health/substance use disorder benefits preferred.
- General knowledge of claims follow up with insurance companies.
- Utilization review knowledge working with insurance companies, helpful.
- Attention to detail and ability to complete the job with minimal errors.
- Ability to prioritize and manage time effectively.
- Job Type: Full-time
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Ability to Commute:
- Lantana, FL 33462 (Required)
Ability to Relocate:
- Lantana, FL 33462: Relocate before starting work (Required)
Work Location: In person
Salary : $18 - $20