Benefit Verification Specialist

Reposted 2 Days Ago
Be an Early Applicant
Bengaluru, Karnataka
In-Office
300K-540K Annually
Junior
Artificial Intelligence • Healthtech • Software • Telehealth
Building AI agents for healthcare operations
The Role
The Benefits Verification Specialist verifies insurance eligibility, validates coverage details, and communicates with payer representatives while documenting findings accurately.
Summary Generated by Built In
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 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.

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 codesHCPCS, 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

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.

Additional Information

  • This position is based at 100ms’s Bangalore office. Employees are expected to work from the office five days a week, as in-office presence is essential to foster collaboration and strengthen company culture.

Top Skills

Ai-Based Automation Tools
Emrs
Payer Portals
Rcm Platforms
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The Company
HQ: San Francisco, California
66 Employees
Year Founded: 2020

What We Do

100ms AI builds voice-first AI agents for healthcare operations, automating high-friction workflows like scheduling, intake, benefits verification, prior authorization, and telehealth coordination.
We combine deep expertise in real-time communications with healthcare-grade AI infrastructure to help care teams scale with empathy, precision, and compliance. Our agents are designed to be safe enough for clinical use, human enough to build trust, and flexible enough to adapt to any workflow, from solo clinics to large health systems.
Previously known for powering real-time video in platforms across EdTech, fitness, and virtual events, 100ms is now focused on transforming healthcare operations through conversational AI that works in the real world.
Founded in 2020, we are a team of engineers, clinicians, and operators committed to building the future of healthcare conversations.

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