Benefit Verification Specialist (Health Insurance, USA) (Bengaluru)

Benefit Verification Specialist (Health Insurance, USA) (Bengaluru)

05 Apr
|
100ms
|
Bengaluru

05 Apr

100ms

Bengaluru

About the Role We are hiring a Benefits Verification Specialist to join our growing healthcare operations team at 100ms. This role sits at the intersection of US healthcare operations and technology, where you’ll play a critical part in verifying patient insurance benefits and enabling seamless access to care. You will work closely with internal teams and contribute to improving operational workflows in a fast-paced environment.

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Key Responsibilities - Perform insurance eligibility & benefits verification for US patients (Commercial, Medicare, Medicaid, etc.)

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- Validate key coverage details: deductibles, co-pay, coinsurance, network status, referrals, prior authorization
- Verify CPT / HCPCS / J-code-specific benefits
- Interact with payer representatives via calls and payer portals
- Accurately document and maintain data in CRM / RCM / EMR systems
- Collaborate with internal teams to resolve data gaps and discrepancies
- Ensure high accuracy, productivity, and SLA adherence
- Identify opportunities to improve processes and system efficiency Ideal Candidate - 1–4 years of experience in US Healthcare Insurance Verification / RCM




- Minimum 6 months hands-on experience in eligibility & benefits verification
- Strong understanding of:
- Commercial, Medicare, Medicare Advantage
- Medicaid, Managed Medicaid, HMO/PPO, VA, DoD
- Experience verifying:
- Deductibles, co-pay, coinsurance
- Prior authorization requirements
- Network status and CPT/HCPCS/J-code benefits
- Comfortable with US calling (payer interactions)
- Robust communication, attention to detail, and documentation skills Preferred - Experience in specialty pharmacy, oncology, infusion therapy, or behavioral health
- Exposure to complex or high-value benefit verification cases Location & Work Details - Bangalore (In-office)
- Full-time role
- Partial overlap with US working hours Why Join Us?
- Work on critical healthcare workflows impacting patients in the US
- Be part of a high-growth, fast-paced startup environment
- High ownership with strong learning and growth opportunities
- Collaborate with cross-functional teams including product & technology

📌 Benefit Verification Specialist (Health Insurance, USA) (Bengaluru)
🏢 100ms
📍 Bengaluru

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