Meta Matrix Solutions LLP

VOB Specialist

Posted: 6 hours ago
mid

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Job Description

We are looking for a detail-oriented and reliable Verification of Benefits (VOB) Specialist to join our on-site team at Tariq Road, PECHS Block 2. This role supports US-based healthcare practices and is essential for ensuring accurate insurance verification, reducing denials, and maintaining clear financial communication before services are rendered.Key Responsibilities:Verify patient eligibility and active insurance coverage (primary & secondary)• Obtain and document complete benefit details, including:• Copays• Deductibles (individual & family)• Coinsurance• Out-of-pocket maximums• Covered and non-covered services• Identify prior authorization, referral, and PCP requirements• Verify specialty-specific benefits, including mental health, psychiatry, and telehealth services• Communicate patient financial responsibility to internal teams and patients when required• Accurately enter and maintain insurance details in EHR / billing systems• Re-verify benefits for ongoing or recurring visits• Flag high-risk or limited-benefit plans to prevent claim denials• Assist with prior authorization workflows and documentation• Coordinate closely with billing and credentialing teams• Stay updated with payer policies and insurance guidelinesRequired Qualifications:Minimum 1 year experience in Verification of Benefits / Eligibility (US healthcare)• Strong understanding of US insurance plans (Commercial, Medicaid, Medicare)• Knowledge of copays, deductibles, coinsurance, and authorization rules• Experience with EHR and practice management systems• Excellent attention to detail and documentation skills• Strong communication skills

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