Verification of Benefits (VOB) Specialist - Mental Health & Addiction Treatment
Boynton Beach, Florida
FULL_TIME | USD 21.00 - 25.00 HOUR
Job Details: Job Location: AIBH 1 - Boynton Beach, FL, Position Type: Full Time, Salary Range: $21.00 - $25.00Hourly, Job Shift: Day Shift - Call Center, 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.  Qualifications: Qualifications  High school diploma or equivalent required; associate's or bachelor's degree preferred.  Minimum two years of behavioral health, substance use disorder, or mental health insurance verification experience required.  Strong understanding of behavioral health levels of care, including Detox, Residential, PHP, IOP, and Outpatient services.  Knowledge of insurance terminology, benefits structures, deductibles, co-insurance, out-of-pocket maximums, prior authorizations, and medical necessity reviews.  Familiarity with ASAM levels of care, payer carve-outs, single-case agreements, and behavioral health reimbursement processes preferred.  Strong understanding of medical terminology, CPT/HCPCS coding, and ICD-10 diagnosis coding related to behavioral health services.  Experience working with commercial insurance plans, managed care organizations, Medicaid, and other payer sources.  Experience with Kipu EMR and Salesforce strongly preferred.  Excellent verbal and written communication skills with the ability to effectively communicate with insurance representatives, patients, admissions teams, and clinical staff.  Strong organizational skills, attention to detail, and ability to manage multiple priorities in a fast-paced environment.  Working knowledge of HIPAA, 42 CFR Part 2, and confidentiality requirements.  Competencies  Behavioral health insurance verification expertise  Benefit interpretation and financial responsibility calculations  Authorization and pre-certification knowledge  Behavioral health payer relations and negotiation skills  Admissions support and revenue cycle awareness  Attention to detail and data accuracy  Critical thinking and problem-solving  Time management and prioritization  Customer service and professional communication  Kipu, Salesforce, and EMR proficiency  HIPAA and regulatory compliance  Team collaboration and cross-functional communication  Ability to perform in a fast-paced, high-volume admissions environment  Commitment to helping clients access life-changing behavioral health and addiction treatment services Your skills. Our mission. A brighter future for recovery. Ready to use your expertise to clear the path for life-changing recovery? Join our growing team. Apply now and be ALL IN!