Team Lead-Benefit Verification Specialist (Health Insurance)

4 - 8 years

0 Lacs

Posted:2 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As a Benefits Verification Specialist with 4+ years of experience in US health insurance eligibility and benefits verification, you will be an integral part of the operations team, focusing on verifying insurance benefits for patients receiving specialty care in the U.S. Key Responsibilities: - Accurately document findings in internal systems. - Collaborate with internal teams to resolve missing or mismatched data. - Collaborate with technology teams to enhance data/systems. - Ensure timely completion of verifications with high accuracy and within defined SLAs. Qualifications Required: - 4+ years of experience in US healthcare insurance verification. - Understanding of insurance types such as commercial, Medicare, Medicaid, HMO/PPO, etc. - Strong attention to detail and ability to document accurately. - Proficiency in written and spoken English. It is a full-time, in-office role based in Bangalore with partial overlap with US hours. Additionally, it is beneficial to have experience in specialty pharmacy, oncology, infusion therapy, or behavioral health, along with a background working with RCM platforms, EMRs, or AI-based automation tools. Joining this role will allow you to be part of a team dedicated to solving critical problems in healthcare automation. You will have a high-ownership role in a startup culture with mentorship and opportunities for fast learning. Furthermore, you will work closely with product and engineering teams in developing cutting-edge AI agents to enhance access to care for patients across the U.S.,

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