Job Description

Benefit Verification Specialist (Health Insurance, USA)

Full-time | Bengaluru (Domlur) | Work From Office | Rotational Night Shifts | 1-5 Years Experience

We are hiring experienced

Benefit Verification Specialists

for a

healthtech product company

working in the U.S. healthcare domain. This role requires

hands-on experience in insurance eligibility and benefits verification

with calling exposure to the U.S. audience.

Role Overview

You will verify patient insurance coverage with U.S. commercial and government payers, document benefit summaries accurately, and coordinate with internal teams to ensure timely processing.

Responsibilities

Verify insurance eligibility and benefits using payer portals and phone calls Validate deductibles, co-pay/coinsurance, prior authorization needs, network status, J-code/CPT/HCPCS-specific benefits Accurately document findings in CRM/RCM/EMR platforms Ensure verification turnaround within defined SLAs Coordinate with internal teams to resolve missing or unclear data

Mandatory Requirements

Minimum 6 months hands-on experience in U.S.

healthcare eligibility and benefits verification

Strong knowledge of insurance types:

Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD

Proven

calling experience to U.S. audience

for healthcare benefits (must be visible in resume) Experience verifying deductibles, co-pay/coinsurance, prior authorization, network status Experience with CPT/HCPCS/J-code benefit checks Strong documentation and communication skills

Not considering AR/accounts receivable/collections profiles

Good to Have

Experience in specialty pharmacy, oncology, infusion therapy, behavioral health Experience with payer portals (Availity, NaviNet, Aetna, UHC, etc.)

Work Setup

Work From Office, Bengaluru (Domlur) 5 days/week night shifts aligned with U.S. hours Maximum Notice Period accepted: 60 days
Job Type: Full-time

Pay: ₹40,000.00 - ₹50,000.00 per month

Experience:

US audience for claims calling : 1 year (Required)
Work Location: In person