Verification of Benefits (VOB) Representative – Behavioral Health

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TYPE OF WORK

Any

SALARY

$5.

HOURS PER WEEK

TBD

DATE UPDATED

Oct 3, 2026

JOB OVERVIEW

**Company:** Claimwise Billing Solutions
**Position:** Verification of Benefits (VOB) Representative
**Industry:** Behavioral Health / Medical Billing

Claimwise Billing Solutions is looking for an experienced **Verification of Benefits (VOB) Representative** to join our team.

We provide billing and revenue cycle management services for **mental health (MH) and substance use disorder (SUD) providers and facilities** across multiple levels of care, including:

- Office Visits / Outpatient Services
- Outpatient (OP)
- Intensive Outpatient (IOP)
- Partial Hospitalization (PHP)
- Residential Treatment (RTC)
- Detox

### Primary Responsibilities

The VOB Representative will be responsible for verifying a patient's insurance benefits before admission or treatment. Responsibilities include:

- Contacting insurance companies to verify active coverage and behavioral health benefits
- Determining in-network and out-of-network benefits
- Verifying deductibles, copays, coinsurance, and out-of-pocket maximums
- Checking whether authorization or pre-certification is required
- Verifying coverage for specific levels of care and services
- Identifying behavioral health carve-outs and third-party administrators
- Using insurance payer portals to obtain eligibility and benefit information
- Calling insurance companies when portal information is unavailable or incomplete
- Accurately documenting benefit information for our clients and internal teams
- Communicating clearly with authorization and billing staff when additional follow-up is needed

### Required Qualifications

**Previous experience verifying insurance benefits is required.**

Applicants should also have:

- Experience calling insurance companies and speaking with payer representatives
- Experience using insurance portals such as Availity and other payer-specific portals
- Strong verbal English skills, as this position requires frequent phone calls with U.S. insurance companies
- Strong written English and documentation skills
- Good attention to detail and the ability to accurately record complex insurance benefit information
- Ability to work independently and follow established VOB procedures
- Reliable computer and internet access

### Preferred Experience

Experience with **mental health and substance use disorder insurance benefits** is strongly preferred, particularly experience verifying benefits for:

- Detox
- Residential Treatment
- PHP
- IOP
- Outpatient behavioral health services

Understanding behavioral health authorization requirements, carve-outs, and different levels of care would be a significant advantage.

### Additional Advantage

Experience with **insurance claim follow-up, claim status, denials, or accounts receivable (A/R)** is also a plus.

This is not required for the VOB position, but candidates who have experience with both **Verification of Benefits and claim follow-up** may have opportunities to take on additional responsibilities as the position grows.

### What We Are Looking For

We are looking for someone who is experienced, dependable, detail-oriented, and comfortable communicating with insurance companies throughout the day.

When applying, please briefly describe:

1. How many years of VOB or insurance verification experience you have
2. What types of insurance plans you have worked with
3. Whether you have experience with behavioral health, mental health, or substance use disorder benefits
4. Which insurance portals you have used
5. Whether you have experience with claim follow-up or insurance A/R

SKILL REQUIREMENT
English Speaking Medical Billing
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