(VOB) Verification of Benefits Team Lead

Location: Plano Office On-Site

Department: Revenue Cycle/Patient Access/Financial Services

Reports To: RCM Manager / VP of RCM

Job Summary:

The Verification of Benefits (VOB) Team Lead is responsible for overseeing the daily operations of the VOB team, ensuring accurate and timely verification of patient insurance benefits. This role involves leading a team to maximize revenue, minimize denials, and provide exceptional customer service to patients and internal stakeholders. The Team Lead will be responsible for training, mentoring, and monitoring team performance, as well as identifying and implementing process improvements.

Essential Duties and Responsibilities:

Team Leadership & Management:

Supervise and mentor a team of Verification of Benefits Specialists.

Monitor team performance against established KPIs and quality standards.

Conduct regular team meetings and provide ongoing feedback and coaching.

Manage team schedules, time off requests, and ensure adequate staffing levels.

Assist with recruitment and onboarding of new team members.

Address and resolve team performance issues and disciplinary actions as needed.

Verification of Benefits Process:

Ensure accurate and timely verification of patient insurance benefits, including eligibility, coverage, and authorization requirements.

Stay up-to-date on changes in insurance policies and procedures.

Resolve complex verification issues and escalate as necessary.

Maintain accurate and detailed documentation of verification activities.

Utilize various online portals and phone systems to communicate with insurance companies.

Quality Assurance & Compliance:

Conduct regular audits of verification activities to ensure accuracy and compliance.

Identify and implement process improvements to enhance efficiency and accuracy.

Ensure compliance with HIPAA and other regulatory requirements.

Maintain knowledge of payer specific rules and regulations.

Reporting & Analysis:

Generate and analyze reports on team performance and key metrics.

Identify trends and areas for improvement.

Provide regular updates to management on team performance and operational issues.

Contribute to the reduction of claim denials.

Customer Service:

Provide exceptional customer service to patients, providers, and internal stakeholders.

Respond to inquiries and resolve issues in a timely and professional manner.

Act as a point of escalation for complex customer service issues.

Qualifications:

High school diploma or equivalent required; bachelor's degree preferred.

Minimum of 3 years of experience in healthcare revenue cycle, with a focus on verification of benefits.

Minimum of 1 years of experience in a leadership or supervisory role.

Strong knowledge of medical terminology, insurance terminology, and healthcare billing practices.

Proficiency in using insurance verification software and online portals.

Excellent communication, interpersonal, and problem-solving skills.

Strong attention to detail and accuracy.

Ability to work independently and as part of a team.

Proficient in Microsoft Office Suite (Word, Excel, Outlook).

Knowledge of HIPAA regulations.

Preferred Qualifications:

Certified Revenue Cycle Representative (CRCR) or other relevant certification.

Experience with Insync Platform.

Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer.

Ability to communicate effectively via phone and email.

Equal Opportunity Employer:

Beacon is an equal opportunity employer and values diversity. We are committed to creating an inclusive environment for all employees.