100Ms8mo ago

Benefit Verification Specialist - AI Agents (Healthcare)

Bengalurumid

Data ScienceOtherHealthcareBenefit Verification Specialist

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Quick Summary

Overview

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.

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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.

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.

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.

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 codes, HCPCS, and payer-specific benefits rules

Strong attention to detail and ability to document accurately

Proficient in written and spoken English