Benefits Verification Manager jobs in United States
cer-icon
Apply on Employer Site
company-logo

Compass Revenue Solutions · 1 month ago

Benefits Verification Manager

Compass Revenue Solutions is focused on providing exceptional revenue cycle management services, and they are seeking a Benefits Verification Manager to lead the Verification of Benefits team. This role includes overseeing team performance, ensuring compliance in insurance verifications, and acting as a liaison with various departments to enhance workflow efficiency.

Financial ServicesFinTechInsurance

Responsibilities

Supervise, coach, and evaluate VOB Specialists and Team Leads, including performance reviews, productivity monitoring, and skill development
Oversee daily workflow assignments, ensuring verifications are completed within organizational turnaround standards
Validate automation processes and resolve system errors in collaboration with IT or software vendors
Maintain and routinely audit a centralized directory of insurance carriers, payer-specific requirements, and facility points of contact
Serve as escalation point for high-priority or complex VOB cases, including those impacting client admission timelines
Conduct regular audits of verification records to ensure data accuracy, compliance with payer rules, and documentation completeness
Collaborate with Leadership to develop and refine SOPs, workflows, and cross-training documentation
Partner with administrative support to onboard and train new hires into the VOB department
Coordinate departmental meetings and training sessions to support continuous improvement and regulatory compliance
Oversee special initiatives such as recertification campaigns and backlog resolutions
Manage department-level reporting including team performance metrics
Participate in strategic planning and goal setting with senior leadership
Perform additional duties as assigned

Qualification

Insurance verificationPayer benefit structuresEMR/CRM platformsHIPAA complianceOperational excellenceLeadershipProblem solvingAttention to detailCommunicationAdaptability

Required

High school diploma or GED required
Minimum 3 years of experience in insurance verification, healthcare billing, or payer relations
Advanced knowledge of payer benefit structures, including commercial and managed care plans
Experience using EMR/CRM platforms (e.g. Monday.com, Salesforce)
Strong understanding of HIPAA compliance standards
Leadership & Team Management: Ability to mentor and develop staff while holding them accountable to clear performance standards
Operational Excellence: Skilled in designing and managing workflows that support speed, accuracy, and scale
Attention to Detail: Proactively identify gaps in documentation or communication that could impact service delivery
Problem Solving: Comfortable managing escalations, resolving payer challenges, and troubleshooting system issues
Communication: Strong written and verbal communication with both internal stakeholders and external partners
Adaptability: Navigates changing regulations, payer policies, and internal priorities with professionalism and agility

Preferred

associate or bachelor's degree preferred
1+ year of supervisory or lead experience in a healthcare setting preferred

Company

Compass Revenue Solutions

twittertwitter
company-logo
Compass Revenue Solutions offers behavioral healthcare billing to streamline revenue cycle management for clinics.

Funding

Current Stage
Growth Stage

Leadership Team

leader-logo
Benjamin Carter
Co-Founder / CEO
linkedin
Company data provided by crunchbase