Mandatory Strong Benefit/ Insurance Verifcation Specialists profile Mandatory (Experience 1) – Must have minimum 6 months of hands-on experience in US healthcare insurance eligibility and benefits verification Mandatory (Experience 2) – Must have worked on payer portals such as Availity, NaviNet, Aetna, UHC, or equivalent. Mandatory (Experience 3) – Strong understanding of insurance types — Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc. Mandatory (Experience 4) – Experience in verifying deductibles, co-pay/coinsurance, prior authorization requirements, network status, and J-code/CPT/HCPCS-specific benefits. 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) Preferred Preferred (Experience) – Prior experience in specialty pharmacy, oncology, infusion therapy, or behavioral health benefit verification. About 100ms Health100ms 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. Office Location Domlur, Bengaluru Role & Responsibiliti es 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 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 Perks, Benefits and Work Culture 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.
Hiring Organization Name- Bajaj Finserv, Pune (On-site)- READ THE JD CAREFULLY BEFORE APPLYING Review Criteria Mandatory Strong dialer manager profile Mandatory (Experience 1):Must have 2+ years of core dialer operations experience with major dialer systems — Genesys, Avaya, Aspect, Ameyo Mandatory (Experience 2): Must have hands-on experience in outbound campaign creation, list uploads, pacing changes, and real-time monitoring. Mandatory (Technical Experience): Must understand routing/pacing optimization, retry logic, call attempts, ANI strategy, contact strategy, and compliance norms etc Preferred Preferred (Company Type): BPOs with large outbound functions, NBFCs, Banks, Fintech telecalling team Preferred (Tools / Tech): Advanced Excel, Basic SQL (optional), Experience with dashboarding tools Role & Responsibilities The Dialer Manager (Level 1) is responsible for the end-to-end execution of daily dialer operations for the DMS portfolio. The role involves campaign setup, data loading, real-time monitoring, performance optimization, and adherence to compliance guidelines. The Dialer Manager plays a critical support role for collections teams by ensuring accurate campaign configuration, seamless dialer performance, and timely availability of calling data. This position requires strong execution discipline, analytical capability, and coordination with operations and MIS teams. Key Responsibilities: Daily Dialer Operations- Configure and execute daily dialer activities: campaign creation, list uploads, skill assignments, pacing adjustments, retry logic, and treatment strategies. Monitor real-time dialer performance and take immediate actions to optimize connect rate, occupancy, abandons, and drop thresholds. Ensure correct routing, list segregation, and campaign hygiene as per business strategy. Validate incoming data for completeness, quality, format accuracy, and mapping consistency. Operations & Stakeholder Coordination- Work closely with Operations Supervisors, Team Leaders, and WFM teams to align dialer load with workforce availability. Communicate campaign priorities, list releases, and expected calling volumes to ensure balanced execution. Collaborate with IT / Dialer Technology teams to troubleshoot dialer lags, failure logs, or configurations. Compliance & Process Adherence- Ensure compliance with regulatory calling norms including: Calling time bands, DND regulations, opt-outs, and consent rules. Maintain strict adherence to internal risk, audit, and data governance guidelines. Maintain updated documentation for dialer processes, SOPs, and campaign-level configurations. Ideal Candidate Technical & Process Skills- Understanding of Collections, DMS workflows, delinquency buckets, and calling strategies. Hands-on experience with dialer platforms such as Genesys, Avaya, Aspect, Ameyo, or any predictive dialer system. Knowledge of dialer logics including predictive dialing, preview, progressive, manual modes, and retry cycles. Strong command over Excel (VLOOKUP, Pivot Tables, data cleaning, error checks) and MIS reporting. Ability to analyze raw calling data, identify gaps, and provide insights. Familiarity with CRM, CTI integration, and lead management workflows. Behavioral & Execution Skills- High attention to detail with strong execution discipline. Ability to work under pressure, manage tight timelines, and support high-volume calling days. Strong problem-solving and troubleshooting ability for real-time dialer issues. Effective communication for coordination with operations, MIS, and technology teams. Ownership mindset with the ability to work independently and prioritize tasks. Eligibility- Employees in GB02A / GB02B bands meeting internal movement guidelines. Completion of minimum tenure as specified by HR. No active PIP or disciplinary action. Consistent performance rating and adherence to compliance norms.