Job Description

Job Title:

Benefit Verification Specialist

Location:

Domlur, Bengaluru (In-office)

Experience:

1-5 years

Working Days:

5 days/week

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About the Role

We are hiring a

Benefit Verification Specialist

with strong experience in

US healthcare insurance eligibility and benefits verification

. The role involves working closely with operations teams to verify patient insurance benefits for specialty care in the United States.
This is a

full-time, in-office role

with partial overlap with US working hours.

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Key Responsibilities

Perform insurance eligibility and benefits verification for commercial and government payers (Medicare, Medicaid, Medicare Advantage, Managed Medicaid, VA, DoD). Review coverage details including deductibles, co-pay/coinsurance, network status, referrals, and prior authorization requirements. Validate J-codes, CPT codes, and HCPCS-related benefits. Connect with payer representatives via phone or through payer portals when needed. Push back on payer decisions based on prior experience. Document findings accurately in internal systems. Coordinate with internal teams to resolve missing or incorrect data. Maintain accuracy and complete verifications within defined SLAs.
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Mandatory Requirements

Minimum 1 year of experience in US healthcare benefits/insurance verification. Hands-on experience with payer portals (Availity, Navinet, Aetna, UHC, etc.). Understanding of commercial, Medicare, Medicaid, HMO/PPO plans. Working knowledge of CPT codes, HCPCS, and payer-specific guidelines. Strong attention to detail and documentation accuracy. Good spoken and written English communication.
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Good to Have

Experience in specialty pharmacy, infusion therapy, oncology, or behavioral health. Exposure to RCM platforms, EMR systems, or healthcare automation tools.
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Why Join

Work in a fast-growing healthtech environment. High-ownership role with mentorship and rapid learning. Collaborate closely with technical and operations teams building advanced AI solutions. Contribute meaningfully to improving patient access to care in the U.S.
Job Type: Full-time

Pay: ₹35,000.00 - ₹45,000.00 per month

Work Location: In person