Posted 6 days ago 18 views
We are seeking a detail-oriented and experienced Verification of Benefits (VOB) Specialist to join our healthcare operations team. This full-time role is based in Rawalpindi, Pakistan, and follows a hybrid work model with mandatory in-office attendance as per company schedule. The successful candidate will be responsible for verifying patient insurance eligibility, confirming coverage details, and ensuring accurate documentation of benefits. A strong understanding of US healthcare insurance processes, excellent communication skills, and the ability to handle multiple verification requests efficiently are essential for this position.
Key Responsibilities
- Verify patient insurance eligibility and benefits with US insurance providers.
- Confirm insurance coverage details, including copays, deductibles, coinsurance, out-of-pocket maximums, and coverage limitations.
- Contact insurance companies to obtain accurate and up-to-date benefit information.
- Identify prior authorization requirements, referral requirements, and any restrictions related to patient coverage.
- Accurately document verification results in internal systems and patient records.
- Communicate insurance coverage details to admissions, billing, and administrative teams.
- Investigate and resolve insurance discrepancies or missing information.
- Process verification requests within established deadlines.
- Maintain accurate records while ensuring patient confidentiality and compliance with HIPAA regulations.
- Coordinate with internal departments to support smooth patient admissions, billing, and authorization processes.
Required Qualifications
- Previous experience in Verification of Benefits (VOB), medical billing, revenue cycle management (RCM), or US healthcare insurance is preferred.
- Strong understanding of US healthcare insurance plans, including PPO, HMO, Medicare, and Medicaid.
- Familiarity with insurance terminology, eligibility verification, copays, deductibles, coinsurance, and prior authorizations.
- Excellent verbal and written communication skills in English.
- Strong analytical, problem-solving, and organizational abilities.
- Ability to communicate professionally with US insurance representatives.
- Proficiency in Microsoft Office and familiarity with electronic health records (EHR) or medical billing software.
- High attention to detail and accuracy in documentation.
- Ability to manage multiple tasks, prioritize workloads, and meet deadlines.
- Ability to work effectively in a hybrid environment with scheduled office attendance.
- Minimum high school diploma or equivalent; additional education in healthcare administration, business, or related fields is an advantage.
Preferred Qualifications and Benefits
- Experience working with US healthcare providers or insurance companies.
- Knowledge of behavioral health, mental health, or substance use disorder treatment insurance verification.
- Familiarity with commercial insurance plans and behavioral health benefits.
- Experience using insurance provider portals and practice management systems.
- Understanding of HIPAA compliance and patient data confidentiality.
We are looking for a motivated, dependable professional who values accuracy and timely insurance verification. The ideal candidate will demonstrate excellent communication skills, the ability to resolve complex insurance inquiries, and a commitment to maintaining high standards of professionalism. This role offers the opportunity to contribute to a growing healthcare operations team in a dynamic hybrid work environment.
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Job Details
RolyxHub (SMC-Private) Limited
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