VOB Specialist

Billing Services

Full-time

Hybrid

About Ritten

Ritten is building the next generation of Electronic Health Records (EHR) and practice management tools for
Behavioral Health providers. We empower clinicians and admin teams with intuitive software that simplifies care
delivery, improves outcomes, and supports sustainable growth. Backed by top-tier investors, we’re scaling quickly
and on a mission to transform behavioral health.

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Role Overview

We're looking for a thorough and detail-oriented Verification of Benefits (VOB) Specialist to join our Revenue
Cycle Management team. This role sits at the very front of the revenue cycle — responsible for verifying insurance
coverage, understanding plan-specific benefits, and delivering accurate, actionable VOB information before a
patient begins treatment.
A strong VOB is the foundation everything else is built on. Errors or gaps here create problems that ripple through
authorization, billing, and collections. You'll work closely with intake and admissions teams to ensure coverage is
confirmed and documented correctly, and hand off clean, complete benefit information to the UR and Billing teams
so the rest of the revenue cycle can run smoothly.

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Location‍

Hybrid in NYC, Philadelphia, and Denver, or Remote

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Key Responsibilities:

Insurance Verification

• Verify active insurance coverage for all incoming patients prior to admission across all levels of care
  including Outpatient (OP), Intensive Outpatient (IOP), Partial Hospitalization (PHP), Residential (RTC),
  and Detox/Withdrawal Management
• Confirm eligibility, policy status, effective dates, and termination dates through payer portals, EDI 270/271
  transactions, and direct payer calls
• Identify primary and secondary insurance coverage and document coordination of benefits (COB)
  information accurately
• Verify coverage for out-of-state patients and payers, navigating multi-state plan nuances

Benefits Investigation

• Conduct detailed benefits investigations specific to behavioral health and substance use disorder services
  for each level of care
• Gather and document key benefit details including deductibles, out-of-pocket maximums, copays,
  coinsurance, in-network vs. out-of-network benefits, and mental health parity applicability
• Identify whether prior authorization is required and communicate this clearly to the UR team
• Clarify covered days, visit limits, and any benefit-specific restrictions that could impact the patient's
  episode of care
• Investigate and document out-of-network benefits when the facility is not in-network with the payer

Documentation & Communication

• Enter complete, accurate VOB information into the system in a standardized format that is accessible and
  actionable for the UR, Billing, and intake teams
• Communicate benefit summaries clearly to admissions and intake coordinators to support patient financial
  counseling and transparency
• Flag high-risk coverage situations — including plans with limited behavioral health benefits, lapsed
  policies, or high patient responsibility — to the appropriate team members before admission
• Document all payer contacts, reference numbers, and verification details for audit and billing purposes

Cross-Functional Coordination

• Work closely with intake and admissions teams as the first step in the revenue cycle, ensuring no patient is
  admitted without a complete and verified VOB
• Hand off authorization requirements and payer-specific details to the UR Specialist to initiate prior
  authorization requests without delay
• Provide the Billing Specialist with accurate payer, plan, and benefit information needed for correct billing
  configuration and claim submission
• Re-verify benefits as needed for extended stays, level of care changes, or plan changes during treatment

Quality & Accuracy

• Maintain a high standard of VOB accuracy — errors in benefits information directly impact authorization,
  billing, and patient collections
• Stay current on payer-specific behavioral health benefits, mental health parity laws, and plan structures
  across multiple states
• Identify and escalate payer or plan discrepancies and document findings for future reference

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Qualifications

Required

• 2+ years of insurance verification or VOB experience in a behavioral health, mental health, or substance
  use disorder setting
• Experience verifying benefits across multiple levels of care (OP, IOP, PHP, Residential, Detox)
• Strong working knowledge of insurance terminology and plan structures including deductibles, OOP
  maximums, copays, coinsurance, and in/out-of-network benefits
• Experience working with commercial insurance, Medicaid, and Medicare across multiple states
• Familiarity with mental health parity laws and how they apply to behavioral health benefit verification
• Experience identifying primary and secondary insurance and documenting coordination of benefits
• Proficiency with payer eligibility portals and practice management or EHR software
• Exceptional attention to detail and strong verbal communication skills for payer calls

Preferred

• Experience verifying out-of-network behavioral health benefits across commercial payers
• Familiarity with EDI 270/271 eligibility transactions
• Knowledge of prior authorization requirements by payer and level of care
• Experience working in a SaaS, health tech, or billing services environment supporting multiple clients and
  facilities
• Experience working with patients or facilities across multiple states

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What Success Looks Like

• Every patient admitted has a complete, accurate, and documented VOB on file before services begin
• The UR team always knows exactly what authorization is required before initiating requests
• The Billing team has correct payer and benefit information from day one, reducing downstream claim
  errors
• High-risk coverage situations are identified and flagged early — before they become billing or collections
  problems

Compensation

We offer competitive compensation packages that include strong cash salaries benchmarked against top startups atour stage.

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