VOB Specialist

Job Description:

Verification of Benefits (VOB) Specialist

The Verification of Benefits (VOB) Specialist is responsible for verifying insurance benefits, eligibility, and coverage information for prospective and current clients. This position works closely with admissions, utilization review, billing, and clinical teams to ensure accurate insurance information is obtained, documented, and communicated to support admissions, treatment planning, and reimbursement processes.

Job Duties and Responsibilities:

• Verify insurance benefits and eligibility for prospective and current clients


• Contact insurance providers to obtain detailed coverage information, including deductibles, copays, coinsurance, out-of-pocket maximums, and authorization requirements


• Document and communicate benefit information accurately to admissions, clinical, and billing teams


• Maintain accurate records of all verification activities and insurance communications


• Assist with obtaining and tracking pre-authorizations and concurrent reviews as needed


• Identify and communicate potential coverage limitations, exclusions, or financial responsibilities


• Collaborate with admissions and utilization review teams to support timely admissions and continuity of care


• Follow up with insurance companies regarding incomplete, pending, or conflicting benefit information


• Escalate complex insurance, authorization, reimbursement, or coverage concerns to appropriate leadership or revenue cycle personnel.


• Ensure compliance with HIPAA regulations, organizational policies, and applicable regulatory requirements


• Perform all other duties as assigned

Competencies:

• Strong understanding of commercial insurance, managed care, and behavioral health benefits


• Knowledge of behavioral health levels of care, including residential, partial hospitalization, intensive outpatient, and outpatient services preferred


• Excellent attention to detail and accuracy in documentation


• Strong verbal and written communication skills


• Ability to multi-task and prioritize workload and meet deadlines in a fast-paced environment.


• Strong analytical and problem-solving abilities


• Effective time management and organizational skills


• Customer service and professional phone etiquette


• Ability to work independently and collaboratively within a team environment


• Knowledge of insurance authorization processes and payer requirements

Minimum Qualifications:

• High school diploma or equivalent required.


• Minimum one (1) year of healthcare, insurance verification, admissions, billing, revenue cycle, or related experience preferred.


• Behavioral health insurance verification experience is strongly preferred.


• Ability to process a high volume of work while maintaining accuracy and attention to detail.


• Proficient in electronic health records (EHR), insurance verification platforms, and standard business software.


• Familiarity with HIPAA regulations and healthcare compliance standards.

Innova Recovery Center, as an equal opportunity employer, complies with all applicable federal and state laws regarding nondiscrimination. Innova Recovery Center is committed to a policy of equal opportunity for all persons and does not discriminate based on race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.