About RapidClaims
RapidClaims is a leader in AI-driven revenue cycle management, transforming medical coding and revenue operations with cutting-edge technology. The company has raised $11 million in total funding from top investors, including Accel and Together Fund.
Join us as we scale and revolutionize healthcare operations through AI-powered solutions and powerful Large Language Models (LLMs) to make medical coding faster, smarter and significantly more accurate.
Verification of Benefits (VOB) Specialist- Job Overview
We are looking for an experienced Verification of Benefits (VOB) Specialist to join our Revenue Cycle Management (RCM) team. This role is responsible for verifying patient insurance eligibility and benefits prior to service, ensuring accurate coverage details are captured to prevent downstream claim denials and delays in reimbursement. The ideal candidate has deep expertise in payer portals, eligibility systems, and benefit verification workflows across multiple specialties.
This position requires strong attention to detail, a solid understanding of insurance plan structures (commercial, Medicare, Medicaid, and managed care), and the ability to clearly communicate coverage, authorization, and financial responsibility information to internal stakeholders and patients.
Shift: Mid Shift – 12:00 PM to 9:00 PM IST
Work Mode: Work From Office mandatory
Key Responsibilities:
● Verify patient insurance eligibility and benefits prior to date of service via payer portals, IVR systems, and direct payer calls.
● Confirm coverage details — effective dates, plan type, deductible, copay, coinsurance, out-of-pocket maximum, and in-network/out-of-network benefits.
● Identify prior authorization and referral requirements, coordinating with the authorization team to resolve gaps before service.
● Accurately document verification findings in the EHR/practice management system for billing, scheduling, and front-desk teams.
● Proactively flag coverage issues, lapses, or discrepancies to prevent claim denials and delays in patient care.
● Communicate patient financial responsibility — copay, deductible, and estimated out-of-pocket costs — to internal teams and patients as needed.
● Stay current on payer-specific eligibility and benefit verification requirements across commercial, Medicare, Medicaid, and managed care plans.
● Meet daily productivity and quality standards for verification volume and turnaround time (TAT).
● Support audits and quality reviews of VOB workflows, and assist in onboarding and training new team members.
Required qualifications:
● 7–8+ years of experience in Verification of Benefits / eligibility verification within US Healthcare RCM.
● Strong working knowledge of insurance types — commercial, Medicare, Medicaid, managed care, and self-pay.
● Hands-on experience with payer portals (Availity, Navinet, or similar) and EHR/PM systems (Athena, Epic, ECW, or similar).
● Working knowledge of CPT/ICD-10 codes as they relate to eligibility and coverage determination.
● Solid understanding of prior authorization and referral requirements across specialties.
● Excellent verbal and written communication skills for payer calls and internal/patient communication.
● High attention to detail and accuracy in data entry, documentation, and coverage interpretation.
● Ability to manage high-volume verification queues while consistently meeting TAT/SLA requirements.
Benefits:
Ability to commute/relocate:
- Bangalore City, Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Preferred)
Application Question(s):
- How many years of experience in Verification of Benefits (VOB)
Shift availability:
- Day Shift (Preferred)
- Night Shift (Preferred)
Work Location: In person
