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Verification of Benefits (VOB) Specialist - Mental Health & Addiction Treatment (50043)

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Description

About Us – Mission & Values

At All In Solutions, our mission is to empower individuals and families affected by addiction and mental health challenges through compassionate, evidence-based care. Founded by people with lived recovery experience, we believe healing begins with dignity, respect, and genuine human connection. We are committed to treating the whole person through individualized treatment plans, clinical excellence, integrity, and unwavering support at every stage of the recovery journey. Our team is united by a shared purpose: helping people reclaim their lives while fostering hope, resilience, and lasting wellness.

Position Summary

We are seeking an experienced Verification of Benefits (VOB) Specialist to join our Admissions and Revenue Cycle team. This critical role serves as the first step in the patient financial clearance process, ensuring individuals seeking treatment have accurate insurance benefit information and a clear understanding of their coverage prior to admission.

The ideal candidate will possess a strong background in behavioral health and substance use disorder insurance verification, including experience navigating multiple levels of care such as Detox, Residential, PHP, IOP, and Outpatient treatment. This position requires a high level of accuracy, urgency, organization, and payer knowledge while working collaboratively with Admissions, Utilization Review, Clinical, and Billing teams.

Shift Availability & Location

  • Location: Boynton Beach, FL
  • Work Schedule: Full-Time
  • Setting: 100% On-Site
  • This position requires onsite attendance and collaboration with Admissions and Operations teams.

Compensation & Pay Structure

  • Competitive compensation based on experience and industry expertise
  • Eligible employees may receive a comprehensive benefits package, including medical, dental, vision, paid time off, and supplemental benefits
  • Opportunities for professional growth within a rapidly expanding behavioral healthcare organization

Key Responsibilities

  • Verify insurance eligibility and behavioral health benefits for substance use disorder and mental health treatment services.
  • Confirm coverage for various levels of care, including Detoxification, Residential Treatment, Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), and Outpatient Services.
  • Accurately 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 required for pre-authorizations and medical necessity reviews.
  • Collaborate with Utilization Review and Clinical teams to ensure admissions documentation supports payer requirements.
  • Assist in expediting 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.
  • Accurately document all verification activity, reference numbers, benefit details, and payer communications.
  • Maintain complete and organized records within Kipu, Salesforce, and other organizational systems.
  • Ensure all information is entered accurately and communicated promptly to admissions and clinical teams.
  • Maintain compliance with HIPAA, 42 CFR Part 2, and organizational privacy standards.
  • Ensure accuracy in benefit verification to support clean claims processing and reduce reimbursement delays.
  • Stay informed on insurance regulations, payer updates, and behavioral health reimbursement trends.

Skills

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