Verification of Benefits (VOB) Specialist - Mental Health & Addiction Treatment
About The Position
All In Solutions is seeking an experienced Verification of Benefits (VOB) Specialist to join its Admissions and Revenue Cycle team. This role is the first step in the patient financial clearance process: the specialist verifies insurance benefits and provides accurate coverage information to people seeking behavioral health and substance use disorder treatment before admission. The position requires knowledge of insurance verification across multiple levels of care, including detoxification, residential treatment, PHP, IOP, and outpatient services. The specialist works collaboratively with Admissions, Utilization Review, Clinical, and Billing teams to support timely, accurate admissions and reimbursement processes. The position is full-time and 100% onsite at AIBH 1 in Boynton Beach, Florida, on the day-shift call center team. Compensation is $21.00–$25.00 per hour. Eligible employees may receive medical, dental, vision, paid time off, and supplemental benefits. The organization also describes opportunities for professional growth.
Requirements
- High school diploma or equivalent required.
- At least two years of behavioral health, substance use disorder, or mental health insurance verification experience required.
- Strong understanding of behavioral health levels of care, including detox, residential, PHP, IOP, and outpatient services.
- Knowledge of insurance terminology and benefit structures, including deductibles, co-insurance, out-of-pocket maximums, prior authorizations, and medical necessity reviews.
- Experience with commercial insurance plans, managed care organizations, Medicaid, and other payer sources.
- Strong understanding of medical terminology, CPT/HCPCS coding, and ICD-10 diagnosis coding related to behavioral health services.
- Excellent verbal and written communication skills for communicating with insurance representatives, patients, admissions teams, and clinical staff.
- Strong organizational skills, attention to detail, and ability to manage multiple priorities in a fast-paced environment.
- Working knowledge of HIPAA, 42 CFR Part 2, and confidentiality requirements.
- Ability to perform in a fast-paced, high-volume admissions environment.
Nice To Haves
- Associate's or bachelor's degree.
- Familiarity with ASAM levels of care, payer carve-outs, single-case agreements, and behavioral health reimbursement processes.
- Experience with Kipu EMR and Salesforce.
Responsibilities
- Verify insurance eligibility and behavioral health benefits for substance use disorder and mental health treatment services.
- Confirm coverage for detoxification, residential treatment, PHP, IOP, and outpatient services.
- Identify deductibles, co-insurance, copays, out-of-pocket maximums, authorization requirements, and coverage limitations.
- Calculate estimated patient financial responsibility and communicate findings to appropriate departments.
- Gather and verify information needed for pre-authorizations and medical necessity reviews.
- Collaborate with Utilization Review and Clinical teams to ensure admissions documentation supports payer requirements.
- Help expedite urgent admissions and time-sensitive treatment requests.
- Conduct benefit verification through insurance provider portals and direct communication with insurance representatives.
- Navigate commercial, managed care, and government payer plans across multiple states.
- Maintain working knowledge of payer-specific behavioral health requirements, carve-outs, and authorization processes.
- Document verification activity, reference numbers, benefit details, and payer communications accurately.
- Maintain complete and organized records in Kipu, Salesforce, and other organizational systems.
- Enter information accurately and communicate it promptly to admissions and clinical teams.
- Comply with HIPAA, 42 CFR Part 2, and organizational privacy standards.
- Support clean claims processing and reduce reimbursement delays through accurate benefit verification.
- Stay informed about insurance regulations, payer updates, and behavioral health reimbursement trends.
Benefits
- Eligible employees may receive medical, dental, vision, paid time off, and supplemental benefits.
- Opportunities for professional growth within a rapidly expanding behavioral healthcare organization.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
