Verification of Benefits Specialist

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TYPE OF WORK

Full Time

SALARY

$6-$7/hour

HOURS PER WEEK

40

DATE UPDATED

Aug 7, 2026

JOB OVERVIEW

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.

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?curacy 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 client’s 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 tea ---------- mbers to continuously improve workflows and accuracy.
- Perform additional duties assigned by leadership.


If you’ve read the job description thoroughly, please include “Pineapple” in the subject line of your email and attach a link to your most updated resume in your message.


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.

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