Verification of Benefits Specialist

Dreem Health

4h•Remote

About The Position

The Verification of Benefits Specialist is responsible for conducting comprehensive insurance eligibility and benefit investigations to ensure accurate patient access, transparent financial communication, and compliant revenue cycle operations. This role verifies coverage, determines network status (facility and provider-level), identifies authorization requirements, and calculates patient financial responsibility prior to service. The Specialist ensures timely and precise documentation in internal systems to support Good Faith Estimates, billing accuracy, and clean claim submission. In addition to payer communication, this role requires direct patient interaction to obtain updated insurance details, clarify benefit information, and proactively communicate financial expectations in a professional, empathetic, and compliant manner. The ideal candidate combines technical insurance knowledge with strong communication skills, critical thinking, and the ability to manage high-volume workflows without compromising accuracy. This is an exciting opportunity for someone who is passionate about patient care and wants to make a real impact on how care is delivered at scale. You’ll learn how to navigate a tech-enabled care environment, collaborate closely with cross-functional teams, and be part of building a better, more accessible future for sleep health. If you thrive in a dynamic, mission-driven setting and are excited to grow with a company that’s redefining care, we’d love to meet you.

Requirements

Prior experience with pre-authorizations and insurance authorizations.
Familiarity with electronic medical records (EMR/EHR) or other healthcare database systems.
Confidence navigating digital tools and multitasking in a fast-paced, dynamic and collaborative environment.
Ability to work autonomously while interacting effectively with healthcare providers, and payors.
Foundational understanding of Insurance Authorization process, medical record management.
A genuine commitment to deliver high-quality patient care and contributing to better access and patient outcomes.

Nice To Haves

Experience in sleep medicine (e.g., PSG, Home Sleep Testing, PAP therapy, GLP-1 therapy).
Completion of a Medical Assistant program or equivalent healthcare experience.
Excellent customer skills with an ability to multitask in a fast paced environment.
High level of empathy and understanding of patients' needs as you strive to provide exceptional patient service and support throughout their care journey.

Responsibilities

Conduct comprehensive insurance eligibility and benefit investigations.
Verify coverage and determine network status (facility and provider-level).
Identify authorization requirements.
Calculate patient financial responsibility prior to service.
Ensure timely and precise documentation in internal systems to support Good Faith Estimates, billing accuracy, and clean claim submission.
Interact directly with patients to obtain updated insurance details, clarify benefit information, and proactively communicate financial expectations.