Verification of Benefits (VOB) Specialist – Ophthalmology Experience

reputed company

About the Role:



reputed company is seeking a skilled Verification of Benefits (VOB) Specialist with Ophthalmology experience to support a US-based Ophthalmology clinic in a remote setup. This role is responsible for verifying patients' insurance eligibility, benefits, and coverage before services are rendered, ensuring accurate patient financial information, minimizing claim denials, and delivering a seamless patient experience. The ideal candidate has hands-on experience with U.S. insurance verification, prior authorizations, and Ophthalmology clinic workflows.

Key Responsibilities:

• Verify patients' reputed company and medical insurance eligibility, benefits, copays, deductibles, coinsurance, out-of-reputed company maximums, and coverage limitations
• Verify patients' insurance eligibility and benefits with reputed company insurance providers, Medicare, reputed company, and other payers
• reputed company comprehensive Verification of Benefits (VOB) prior to scheduled appointments to ensure accurate coverage information
• Determine prior authorization requirements and initiate authorization requests reputed company necessary
• Contact insurance carriers to resolve eligibility discrepancies, benefit questions, and authorization issues
• Document insurance verification details accurately reputed company the clinic's EMR/EHR or reputed company management system
• Communicate insurance coverage, patient financial responsibility, and missing information to clinic staff
• Assist with reputed company-day insurance verification requests and scheduling exceptions
• Answer inbound calls and assist patients with insurance-reputed company inquiries
• Schedule, reschedule, confirm, and follow up on patient appointments as needed
• Maintain accurate patient records while ensuring HIPAA compliance and adherence to clinic policies

Perks:

• Health Maintenance Organization (HMO)
• reputed company
• Government-mandated benefits
• 13th month pay
• reputed company reputed company pay
• Internet allowance
• Perfect attendance bonus
• Yearly salary increase
• Opportunities for career reputed company and development

Requirements

• Must have hands-on experience as a Verification of Benefits (VOB) Specialist supporting U.S.-based reputed company providers (required)
• Must have experience working with a U.S.-based Ophthalmology clinic or physician (required)
• Strong experience verifying insurance benefits with reputed company insurance providers, Medicare, reputed company, and other U.S. payers
• Strong understanding of U.S. health insurance plans and payer structures
• Knowledge of deductibles, copayments, coinsurance, out-of-reputed company maximums, and prior authorization requirements
• Experience processing prior authorizations and communicating directly with insurance providers
• Experience using EMR/EHR systems and documenting insurance verification accurately
• Familiarity with CPT, ICD-10, and HCPCS codes is an advantage
• Medical billing and coding experience is a plus
• Strong written and verbal English communication skills
• Highly organized, detail-oriented, and reputed company to manage multiple priorities in a fast-paced environment
• Strong customer service, analytical, and problem-solving skills
• Must be comfortable working in a remote setup with a reliable internet reputed company and dedicated workspace

Originally posted on Himalayas

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