Verification of Benefits Specialist
Core
Oversee and manage the verification of benefits process, ensuring accurate policy reviews and handling referral complexities to determine patient responsibility and reimbursement.
Role type
Verification of Benefits Specialist
Builds
Financial process accuracy for patient admission and reimbursement
Domain
Behavioral healthcare / Insurance administration
Deliverable
Dashboards & analysis
Required skills
Insurance policy verification, Medical billing knowledge, Salesforce documentation, Third-party benefits identification, Financial counseling coordination, Billing inquiry investigation
Preferred skills
Healthcare administrative experience, Customer service, Claims processing
Responsibilities
Verify insurance policy benefits for new and returning patients, Obtain and document accurate insurance information in Salesforce, Identify special policy clauses to aid financial and admission decisions, Educate patients and teams on insurance issues, Direct third-party financial benefits for counseling, Support admissions and revenue cycle teams, Investigate escalated insurance billing inquiries
Seniority
Mid-level, hands-on IC
