Verification of Benefits (VOB) Specialist – Ophthalmology Experience (Remote)

Snapscale

21d•Remote

About The Position

Snapscale is seeking a skilled Verification of Benefits (VOB) Specialist with Ophthalmology experience to support a US-based Ophthalmology clinic in a remote setup. This role is responsible for verifying patients' insurance eligibility, benefits, and coverage before services are rendered, ensuring accurate patient financial information, minimizing claim denials, and delivering a seamless patient experience. The ideal candidate has hands-on experience with U.S. insurance verification, prior authorizations, and Ophthalmology clinic workflows.

Requirements

Must have hands-on experience as a Verification of Benefits (VOB) Specialist supporting U.S.-based healthcare providers (required)
Must have experience working with a U.S.-based Ophthalmology clinic or physician (required)
Strong experience verifying insurance benefits with commercial insurance providers, Medicare, Medicaid, and other U.S. payers
Strong understanding of U.S. health insurance plans and payer structures
Knowledge of deductibles, copayments, coinsurance, out-of-pocket maximums, and prior authorization requirements
Experience processing prior authorizations and communicating directly with insurance providers
Experience using EMR/EHR systems and documenting insurance verification accurately
Strong written and verbal English communication skills
Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment
Strong customer service, analytical, and problem-solving skills
Must be comfortable working in a remote setup with a reliable internet connection and dedicated workspace

Nice To Haves

Familiarity with CPT, ICD-10, and HCPCS codes is an advantage
Medical billing and coding experience is a plus

Responsibilities

Verify patients' vision and medical insurance eligibility, benefits, copays, deductibles, coinsurance, out-of-pocket maximums, and coverage limitations
Verify patients' insurance eligibility and benefits with commercial insurance providers, Medicare, Medicaid, and other payers
Perform comprehensive Verification of Benefits (VOB) prior to scheduled appointments to ensure accurate coverage information
Determine prior authorization requirements and initiate authorization requests when necessary
Contact insurance carriers to resolve eligibility discrepancies, benefit questions, and authorization issues
Document insurance verification details accurately within the clinic's EMR/EHR or practice management system
Communicate insurance coverage, patient financial responsibility, and missing information to clinic staff
Assist with same-day insurance verification requests and scheduling exceptions
Answer inbound calls and assist patients with insurance-related inquiries
Schedule, reschedule, confirm, and follow up on patient appointments as needed
Maintain accurate patient records while ensuring HIPAA compliance and adherence to clinic policies