Benefit Verification Specialist

TalentXO; Bengaluru; On-site; INR 600,000 - 800,000; Full time

Benefits offered by this job

Mentorship and fast learning

Collaboration with product and engineering teams

Role in healthcare automation solutions

Job summary

A dynamic healthcare solutions provider in Bengaluru is seeking a Benefits Verification Specialist to handle insurance verification for patients in specialty care. This full-time, in-office role requires at least 1 year of US healthcare insurance verification experience and strong attention to detail. Ideal candidates will collaborate with internal teams and have familiarity with payer portals. This position offers a chance to be part of a startup culture focused on healthcare automation.

Qualifications

• 1+ years of experience in US healthcare insurance verification.
• Strong attention to detail and ability to document accurately.
• Proficient in written and spoken English.

Responsibilities

• Perform insurance verification and eligibility checks.
• Validate coverage details including deductibles, co-pay/coinsurance, and network status.
• Accurately document findings in internal systems.
• Collaborate with internal teams to resolve data issues.

Skills

US healthcare insurance verification

Attention to detail

Familiarity with payer portals

Written and spoken English

Job description

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 speciality 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.

Ideal Candidate

• 1+ years of experience inUS 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

Perks, Benefits and Work Culture

• Be part of a team solving critical problems inhealthcare automation
• High-ownership role in astartup culturewith mentorship and fast learning
• Work closely with product and engineering teams building cutting-edgeAI agents
• Contribute to improvingaccess to carefor patients across the U.S.