Verification of Benefits MBVA 24-7

2 weeks ago

Cabuyao, Philippines Mbva247 Full time

Job Title: Verification of Benefits
Monthly Rate: $4.25
Start Date: ASAP
Full Time

Position Overview:

The Verification of Benefits (VOB) Virtual Assistant plays a critical role in supporting healthcare providers, treatment centers, and billing departments by verifying patients’ insurance coverage and benefits. This position ensures accurate and timely verification of insurance information to help facilitate smooth admissions, billing, and claims processes.

As a virtual assistant, the VOB specialist will work remotely to contact insurance companies, gather necessary coverage details, document findings, and communicate with relevant internal teams. A strong understanding of medical terminology, insurance procedures, and excellent communication skills are essential for success in this role.

Job Responsibilities:
  1. Verify Patient Insurance Benefits
    1. Contact insurance companies by phone or via portals to verify patient coverage and eligibility.
    2. Gather detailed information on covered services, copays, deductibles, and prior authorization requirements.
    3. Accurately document all benefit details in the EHR or billing system.
  2. Submit Authorization Requests
    1. Prepare and submit prior authorization requests, including relevant clinical documentation.
    2. Follow up on pending authorizations with insurance carriers to ensure timely approvals.
    3. Maintain accurate records of all submitted authorizations.
  3. Track Authorization Expiry and Renewals
    1. Monitor and track expiration dates for existing authorizations.
    2. Proactively initiate renewal processes prior to expiration to avoid service disruptions.
    3. Notify the clinical and administrative teams of any issues or lapses.
  4. Coordinate with Clinical Staff
    1. Request and compile necessary clinical documentation for submissions.
    2. Communicate with clinicians to ensure all required documents are up to date and compliant
    3. Ensure Compliance and Accuracy
    4. Maintain confidentiality and comply with HIPAA and internal data protection policies
    5. Ensure accurate data entry, documentation, and reporting of insurance verification and authorization status.
Job Qualifications:
  • At least 2 years of proven experience in medical billing, insurance verification, or healthcare administration required.
  • Strong knowledge of insurance terminology and benefit structures.
  • Excellent verbal and written communication skills.
  • Detail-oriented with the ability to multitask and manage time effectively.
  • Proficient in using spreadsheets, CRM tools, and insurance portals.
  • Reliable internet connection and a quiet, professional remote work environment.
Hardware and Software Requirements: Hardware:
  • AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
  • 16GB DDR4 RAM and 120 – 480gb SSD
  • Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
  • 1 – 2 Monitors (at least 21in)
  • 1080p HD Webcam
  • Internet Speed: 50mbps (Fiber/DSL) LTE not accepted
Software:
  • Genuine Windows 10 Licensed Computer
  • Microsoft Office Suite
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