Verification of Benefits Specialist

Your Role:

• This is a full-time in-person role
• Hours: 8 hour shift - Monday to Friday
  • South Jordan UT office

The Purpose of Your Role

The Verification of Benefits (VOB) Specialist verifies insurance eligibility and benefits for prospective clients prior to admission. Working closely with the Admissions team this role ensures benefit information is accurate clearly communicated and properly documented. The VOB Specialist supports a smooth intake process by confirming coverage details identifying authorization requirements securing required financial documentation and completing all verifications in a timely and compliant manner.

The Company Youll Join

OCD Anxiety Centers has a true passion for bringing help and hope to some of the most underserved clinical populations. We strive to change the lives of individuals and their families who have been suffering from unrelenting anxiety disturbing and terrifying thoughts uncontrollable worry exhausting behaviors and rituals and avoidance that keeps them from living their lives. We are an evidence-based practice which means we do what works we stay up to date with scientific research and we regularly attend international training to keep us at our very best.

Our Investment in You

• A competitive base salary with performance-based bonuses
• 401k match
• Core benefits: medical/dental/vision with the company contribution to medical benefit for employee
• Company-paid employee life insurance
• Voluntary benefits
• Paid time off includes 15 days (120 hours) of Paid Time Off 5 days (40 hours) of Sick Time and 9 days (72 hours) Company holiday pay
• Paid specialized ongoing training strengthening your skills experiences and connections that will help advance your career

The Team Youll Work With

The success of our organization is dependent on the trust and confidence we earn from our employees clients and community. Our values are connected to our work at OCD Anxiety Centers and are measured against the highest possible standards of ethical business conduct:

• Growth
• Proactivity
• Positivity
• Results Driven

We set the bar that high for practical and aspirational reasons. Candidates with similar ethical standards who have the ability to adapt in a fast-moving working culture and are committed to providing excellent client service are encouraged to apply.

Key Performance Indicators (KPIs):

• 100% accuracy in benefit verification and documentation
• 100% of verifications are completed within one hour of request.
• Maintain a variance of less than 2 percent between verified benefits and actual payer reimbursement outcomes.

Please note: When you achieve any of the above key indicators your supervisor will counsel with you to set a new goal.

Core Responsibilities:

Insurance Verification and Eligibility

• Contact insurance companies through outbound calls or utilize payer portals to verify benefits and eligibility for prospective clients.
• Accurately obtain and document benefit details including deductibles copays coinsurance out-of-pocket maximums authorization requirements and coverage limitations.
• Identify requirements for pre-authorizations single case agreements or other payer-specific conditions prior to admission.

Documentation and Systems

• Document all benefit information and payer communications accurately and thoroughly in the EHR system.
• Maintain an organized system for initial and ongoing benefit verifications.
• Ensure benefit information remains current and reflects any changes prior to admission.

Client and Team Communication

• Communicate clearly and professionally with admissions and business office to answer questions regarding clients insurance benefits and financial responsibility.
• Work closely with the Admissions team to ensure all verifications are completed promptly and accurately.

Compliance and Collaboration

• Regularly audits verification of benefits activities to identify inaccuracies trends or process gaps and develop corrective action plans to improve accuracy efficiency and compliance.
• Collaborates with leadership and admissions staff to implement process improvements reinforce best practices and reduce recurring errors.
• Adhere to all company policies procedures and compliance standards.
• Collaborate with supervisors and team members to continuously improve workflows and accuracy.
• Perform additional duties assigned by leadership.

The Skills and Expertise You Have:

Education and Experience:

• High school diploma or equivalent.
• Minimum of two years of experience in insurance verification of benefits medical billing utilization review or a related healthcare role.

Technical Skills:

• Proficiency in medical billing software and EHR systems (e.g. Imagine ADS)
• Demonstrated knowledge of insurance benefits and eligibility verification. Familiarity with medical terminology and medical billing practices.
• Lightning Step Experience preferred

Soft Skills:

• Strong written and verbal communication skills.
• Excellent organization time management and attention to detail
• Ability to work independently while managing multiple priorities in a fast-paced environment.
• Ability to communicate effectively with insurance payors and obtain accurate information.
• Accurate and efficient electronic data entry skills.

Disclaimer

OCD Anxiety Centers has not designed this job description to contain a comprehensive list of activities duties or responsibilities required of the employee. Furthermore OCD Anxiety Centers reserves the right to change or assign new duties responsibilities and activities at any time with or without notice.

Equal Employment Opportunity Commission (EEOC) statement

OCD Anxiety Centers is committed to providing equal opportunity for all employees and applicants without regard to race color religion sex national origin age marital status sexual orientation genetics disability political affiliation personal appearance family responsibilities or any other legally protected class under federal state or local law. This applies to all aspects of employment including recruitment hiring job assignments promotions working conditions scheduling benefits wage and salary administration disciplinary action termination social educational and recreational programs.

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Experience:

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