Benefit Verification Specialist (Karnataka)

Benefit Verification Specialist (Karnataka)

09 Aug
|
100ms
|
Karnataka

09 Aug

100ms

Karnataka

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

📌 Benefit Verification Specialist (Karnataka)
🏢 100ms
📍 Karnataka

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