Team Lead-Benefit Verification Speicalist (Health Insurance)

Role & Responsibilities

We're hiring a Benefits Verification Specialist with 5–8 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

Good To Have

Perks, Benefits and Work Culture

Skills : erm,health,medicare,uhc,us healthcare,aetna,payer,data,medicaid,insurance

Skills Required

Hcpcs, insurance verification