Company overview:

Prosperity Behavioral Health provides third-party revenue cycle and back-office services/support to behavioral health providers. Our employees are our most valuable asset, and our work environment emphasizes respect, personal/professional growth, and opportunities for advancement.

General Purpose of Position:

VOB Specialist

Primary Responsibilities (include but are not limited to)

• Complete verification of benefits for multiple clients within the appropriate timelines.
• Assign, approve, and audit offshore team’s verification of benefits.
• Negotiate and maintain all records for single case agreements for multiple clients.
• Maintains high-quality customer service standards in compliance with federal and state regulations and guidelines. Provide periodic processing status updates.
• Assist in researching reimbursement issues relevant to benefits/eligibility issues.
• Assist in training of new team members.
• Enter and update patient demographics into the billing system as needed.
• Complete KPI reports as requested by management and the clients.
• Update and manage the VOB tracker for multiple clients.
• Understand federal and state requirements regarding client confidentiality and the principles of maintaining protected health information (PHI).
• Work effectively and maintain expected productivity.
• Assist the Utilization Review team with of preauthorization, concurrent review, discharge, and post-service reviews using ASAM Criteria, as needed.
• Other tasks or duties as assigned.

Education, Skills, and Experience Requirements:

• High School Diploma
• Must have excellent multitasking skills
• Must be detail-oriented and organized to maintain patient data
• Must follow HIPPA guidelines

Physical Demands and Working Environment:

The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

• Physical: Primary functions require sufficient physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, carry, push, and/or pull light to moderate amounts of weight (up to 40 pounds); to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard, and to verbally communicate to exchange information.
• Vision: Close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
• Hearing: Hear in the normal audio range with or without correction.

This job description does not list all the duties of the job. You may be asked by managers to perform other instructions and duties. This job description may be revised from time to time and does not constitute a contract for employment.

Prosperity Behavioral Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Prosperity Behavioral Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Type: Full-time

Pay: $48,000.00 - $55,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)
• Treatment Facility: 1 year (Preferred)
• Behavioral Health: 1 year (Preferred)

Work Location: Remote

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