Remote Raven
Healthcare
VerificationofBenefits(VOB)Specialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Verification of Benefits (VOB) Specialist at Remote Raven. Skills: Verification of Benefits (VOBs), insurance verification, EMR system. Perform timely and accurate verification of benefits (VOBs) for all incoming clients across Detox, Residential, PHP, IOP, and OP levels of care. Confirm coverage, benefit limitations, co-pays, deductibles, out-of-pocket maximums, exclusions, and pre-authorization requirements with each payer”
What You'll Achieve.
Within 90 days you will be the team's trusted source of truth for insurance status; Within 6 months you will have visibility into face-sheet auditing, basic billing entry, and eligibility-driven claim follow-ups during low-volume periods
Industry & Context.
HIPAA compliance, protect patient confidentiality, Reliable home internet, a quiet remote work environment, willingness to overlap with US Mountain Time business hours
What They're Looking For.
Must Have
Prior hands-on experience with insurance verification of benefits in a US healthcare setting, working knowledge of US commercial insurance (BCBS, Aetna, Cigna, UHC, Humana) and government payers (Medicare, Medicaid, Tricare) including pre-authorization processes, Direct experience using an EMR system to update face sheets and document insurance information, Familiarity with COBRA continuation coverage and Affordable Care Act Marketplace plans, and how premium payment status affects active coverage, Demonstrated HIPAA awareness and respect for patient confidentiality, Reliable home internet, a quiet remote work environment, and willingness to overlap with US Mountain Time business hours
Nice to Have
VOB experience specifically in behavioral health, mental health, or substance use treatment settings, Working knowledge of behavioral health benefit structures (parity, level-of-care criteria, concurrent review) and pre-authorization for SUD/MH services, Experience with healthcare billing systems and initial claim follow-up on eligibility-based denials
What You'll Do.
Perform timely and accurate verification of benefits (VOBs) for all incoming clients across Detox
and OP levels of care
out-of-pocket maximums
and pre-authorization requirements with each payer
Input VOB findings into designated tracking systems and update the client's EMR face sheet with complete supporting documentation
Conduct bi-weekly re-verification of all active client insurance policies on the 1st and the 16th of every month
identifying and addressing changes
Monitor and track COBRA and Marketplace premium payments for active clients on those coverage types
communicating any lapses or pending payments that may affect continued coverage
Maintain clear documentation of premium statuses and any outreach or action taken with clients or internal teams
Audit client EMR face sheets for accurate and complete insurance information during lower-volume periods
Enter client admission and discharge data into the billing system when the Hybrid Billing Coordinator is unavailable or at capacity
Assist with initial claim follow-ups for basic eligibility denials or coverage mismatches as needed
Upload VOB documentation to the client's EMR face sheet in collaboration with the Hybrid Billing/VOB Specialist
Complete special assignments and other duties as requested by the supervisor
Maintain HIPAA compliance and protect patient confidentiality at every step of the workflow
How You'll Work.
Team & Collaboration
Communicate verified benefits clearly and promptly to admissions, billing, and clinical teams to enable smooth intake and continuous care coordination; collaboration with the Hybrid Billing/VOB Specialist
Communication Scope
Effective verbal and written English communication; comfort on phone calls with US payers; async written handoffs to internal teams
Full Job Description
Our client is a US-based behavioral health and substance use treatment provider delivering care across the full continuum — Detox, Residential, Partial Hospitalization (PHP), Intensive Outpatient (IOP), and Outpatient (OP). Treatment cannot start without financial clearance, and financial clearance starts with you. As the Verification of Benefits (VOB) Specialist, you sit at the intersection of admissions, billing, and clinical operations, owning the verification workflow that determines whether a client is covered, what level of care their plan supports, and what authorizations are required before care begins. This is a 100% remote, full-time role for a detail-driven insurance professional who can move quickly without sacrificing accuracy. You will run VOBs end-to-end, document them in the client's EMR face sheet, and translate complex commercial and government benefit structures into clear, actionable summaries for the teams who rely on them. Twice a month — on the 1st and the 16th — you will re-verify every active client policy to catch lapses, terminations, or coverage changes before they disrupt treatment. You will also track COBRA and Marketplace premium payments, where a missed payment can quietly end coverage mid-treatment. Within 90 days you will be the team's trusted source of truth for insurance status. Within 6 months you will have visibility into face-sheet auditing, basic billing entry, and eligibility-driven claim follow-ups during low-volume periods — building you into a more versatile revenue cycle contributor over time. **Responsibilities** * Perform timely and accurate verification of benefits (VOBs) for all incoming clients across Detox, Residential, PHP, IOP, and OP levels of care * Confirm coverage, benefit limitations, co-pays, deductibles, out-of-pocket maximums, exclusions, and pre-authorization requirements with each payer * Input VOB findings into designated tracking systems and update the client's EMR face sheet with complete supporting d
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