Benefit Verification Specialist

Year    KA, IN, India

Job Description

About 100ms



100ms is building AI agents that automate complex patient access workflows in U.S. healthcare -- starting with benefits verification, prior authorization, and referral intake in specialty pharmacy.

We help care teams reduce delays and administrative burden so that patients can start treatment faster. Our automation platform combines deep healthcare knowledge with LLM-based agents and robust ops infrastructure.

You'll be joining a specialized team at 100ms focused on healthcare automation using AI.

About the Role

We're hiring a Benefits Verification Specialist with 1-4 years of experience in US health insurance eligibility and benefits verification.

You'll be part of our operations team, helping verify insurance benefits for patients receiving specialty care in the U.S.

This is a full-time, in-office role based in Bangalore, with partial overlap with US hours.

Key Responsibilities



Perform insurance verification and eligibility checks for commercial and government payers (e.g., Medicare, Medicare Advantage, Medicaid, Managed Medicaid, VA, DoD). Validate coverage details including deductibles, co-pay/coinsurance, network status, referrals, prior authorization requirements, and J-code/CPT-code specific benefits. Contact payer representatives via phone or payer portals as needed. Push back on payer based on previous experience. Accurately document findings in internal systems. Collaborate with internal teams to resolve missing or mismatched data. Collaborate with technology teams to improve data/systems. Ensure timely completion of verifications with high accuracy and within defined SLAs.

Requirements



2+ years of experience in US healthcare insurance verification *
Familiarity with

payer portals

(e.g., Availity, Navinet, Aetna, UHC) Understanding of

insurance types

(commercial, Medicare, Medicaid, HMO/PPO, etc.) Working knowledge of

CPT codes

,

HCPCS

, and

payer-specific benefits rules

Strong attention to detail and ability to

document accurately

Proficient in

written and spoken English


Good to Have



Experience in specialty pharmacy, oncology, infusion therapy, or behavioral health Background working with RCM platforms, EMRs, or AI-based automation tools

Compensation



Salary

: ?3.0 - ?5.4 LPA (based on experience)

Equity

: Up to 0.01%

Location

: Bangalore (in-office)

Why Join Us



Be part of a team solving critical problems in

healthcare automation

High-ownership role in a

startup culture

with mentorship and fast learning Work closely with product and engineering teams building cutting-edge

AI agents

Contribute to improving

access to care

for patients across the U.S.
Job Type: Full-time

Pay: ?300,000.00 - ?540,000.00 per year

Benefits:

Health insurance
Work Location: In person

Beware of fraud agents! do not pay money to get a job

MNCJobsIndia.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.


Job Detail

  • Job Id
    JD3948282
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    KA, IN, India
  • Education
    Not mentioned
  • Experience
    Year