Job Description

Team Lead - Benefit Verification Specialist (Health Insurance)

Bengaluru, Domlur (Work From Office)
Full-time | Rotational Night Shifts | Max Notice Period: 60 Days

About the Role

Hiring for a client in the

US healthcare automation (product) space

.
We are looking for a

Team Lead - Benefit Verification Specialist

with strong experience in

US health insurance eligibility and benefits verification

, along with proven team-handling capabilities.

Responsibilities

Verify eligibility and benefits across commercial and government insurance plans Validate deductibles, co-pay/coinsurance, prior authorization requirements, network status, J-codes, CPT, and HCPCS benefits Document verification details accurately in CRM/RCM/EMR systems Work through payer portals such as Availity, NaviNet, Aetna, UHC, and others Lead a verification team, monitor performance, and ensure SLA adherence Coordinate with cross-functional teams to improve processes and resolve issues Maintain accuracy, compliance, and turnaround time standards

Mandatory Requirements

Minimum

4 years

US healthcare eligibility and benefits verification Minimum

2 years

of

team-handling experience

Strong knowledge of insurance types: Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD Experience verifying deductibles, co-pay/coinsurance, prior auth, J-codes, CPT, and HCPCS benefits Proficiency with payer portals such as Availity, NaviNet, Aetna, UHC Strong documentation and communication skills

Comfortable with 5 days WFO and rotational night shifts (5:30 PM - 6:50 AM IST)

Preferred Experience

Specialty pharmacy, oncology, infusion therapy, or behavioral health benefit verification

Location

Domlur, Bengaluru (Work From Office)

Job Type: Full-time

Pay: ₹66,000.00 - ₹80,000.00 per month

Work Location: In person