Prior hands-on experience with insurance verification of benefits in a US healthcare setting
Strong working knowledge of US commercial insurance (BCBS, Aetna, Cigna, UHC, Humana) and government payers (Medicare, Medicaid, Tricare) including pre-authorization processes
Direct experience using an EMR system to update face sheets and document insurance information
Familiarity with COBRA continuation coverage and Affordable Care Act Marketplace plans, and how premium payment status affects active coverage
Excellent attention to detail with the ability to spot missing or contradictory benefit information
Effective verbal and written English communication, including comfort on phone calls with US payers and async written handoffs to internal teams
Ability to work independently, prioritize a daily queue, and meet turnaround expectations in a fast-paced environment
Demonstrated HIPAA awareness and respect for patient confidentiality
Reliable home internet, a quiet remote work environment, and willingness to overlap with US Mountain Time business hours
Nice to Have
VOB experience specifically in behavioral health, mental health, or substance use treatment settings
Working knowledge of behavioral health benefit structures (parity, level-of-care criteria, concurrent review) and pre-authorization for SUD/MH services
Experience with healthcare billing systems and initial claim follow-up on eligibility-based denials
GK
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