Verification Specialist Job Vacancies in Bangalore

Office Location- Domlur, BengaluruRole & ResponsibilitiesWere hiring a Benefits Verification Specialist with 14 years of experience in US health insurance eligibility and benefits verification. Youll 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 CandidateStrong Benefit/ Insurance Verification Specialists profileMandatory (Experience 1) Must have minimum 6 months of hands-on experience in US healthcare insurance eligibility and benefits verificationMandatory (Experience 2) Strong understanding of insurance types Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc.Mandatory (Experience 3) Experience in verifying deductibles, co-pay/coinsurance, prior authorization requirements, network status, and J-code/CPT/HCPCS-specific benefits.Mandatory (Experience 4) Ability to accurately document benefit details and maintain data in internal systems (CRM, RCM, or EMR platforms)Mandatory (Experience 5) Ability to accurately document benefit details and maintain data in internal systems (CRM, RCM, or EMR platforms)Mandatory (Skills) - Good communication skills (Must have calling experience to US audience for claims)Mandatory (Note) - Don't want post insurance verification profiles (Accounts receivables AR etc)Preferred (Experience) Prior experience in specialty pharmacy, oncology, infusion therapy, or behavioral health benefit verification.Perks, Benefits and Work CultureBe part of a team solving critical problems in healthcare automationHigh-ownership role in a startup culture with mentorship and fast learningWork closely with product and engineering teams building cutting-edge AI agentsContribute to improving access to care for patients across the U.S.

Insurance Verification Specialist- Minimum 6 months of experience- Experience in navigating and utilizing dental softwares for Insurance Verification purposes- Demonstrate strong English communication skills (both verbal and written) for effective client correspondence- Proficiency in basic computer operations- System with at least Windows 10 or higher operating system, reliable power and internet connection, proper working headset- Adaptability to work within USA time zones and calendars- EST, CST, PST or MST timezone which is defined by the Client- Responsive during working hours- Understanding of USA dental insurances and associated processes- Reliable and takes ownership of all required tasks and interactions- Salary 25k-30k Rupees- Performance based incentives and Opportunity to grow

Job Description :RequirementsExp: 2 to 5yrs in CMD,Billing, Invoicing, Cash application, Dispute and collectionsGraduate /Post Graduate (B.com, Mcomc/MBA -Fin.)3 to 5 years of experience in finance operations work with expertise in [OTC] / AR related processes in a BPO/Shared Services environmentExposure to an SAP or Oracle ERP environment SAP in a multi country environment with Shared service exposure.Preferred background being manufacturing / service industry / Equipment providerRequired good knowledge on MS Excel, MS Access, Macros.Good communication and Analytical skillsInterpersonal skills and Positive attitudeCommitment to quality work