06 Sep
|
vArida-Tech
|
Kolkata
06 Sep
vArida-Tech
Kolkata
VOB Agent (Mental & Behavioral Health)Job Summary
Key Responsibilities
- Verify patient eligibility, benefits, and coverage with commercial, Medicare, Medicaid, and managed care plans.
- Confirm Mental Health and Behavioral Health benefits, including therapy, psychiatry, counseling, IOP, PHP, and substance abuse treatment coverage.
- Determine deductibles, copays, coinsurance, out-of-pocket maximums, and authorization requirements.
- Verify in-network and out-of-network perks.
- Document verification details accurately in EMR/EHR and practice management systems.
- Experienced with CollaborateMD, Kipu EHR is a plus.:
- Obtain and document prior authorization requirements when applicable.
- Communicate benefit information to internal teams and scheduling departments.
- Follow payer-specific guidelines and ensure compliance with HIPAA regulations.
- Escalate complex insurance issues and discrepancies as needed.
- Maintain productivity, quality, and turnaround time standards.
Required Skills:
- Strong understanding of Verification of Benefits (VOB) processes.
- Experience with Mental Health and Behavioral Health insurance verification.
- Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans.
- Familiarity with CPT, ICD-10, and behavioral health billing guidelines.
- Excellent communication and analytical skills.
- Strong attention to detail and documentation accuracy.
- Proficiency with EMR/EHR systems and healthcare software.
- Knowledge of HIPAA compliance and healthcare regulations.
Qualifications:
- Bachelor's degree or equivalent work experience.
- 1-3 years of experience in Insurance Verification, VOB, or Revenue Cycle Management.
- Prior experience supporting Mental Health or Behavioral Health providers is strongly preferred.
- Experience with US Healthcare RCM processes.
- Medical Billing or Coding certification is a plus.
Key Performance Indicators (KPIs)
- Verification Accuracy Rate
- Daily Verification Volume
- Turnaround Time (
📌 Vob Agent (Kolkata)
🏢 vArida-Tech
📍 Kolkata