Benefit Verification Specialist (Health Insurance, USA)
This is a specialist role at CG-VAK Software & Exports Ltd. in the healthtech domain focusing on US healthcare benefits verification. The hire will perform insurance eligibility checks, contact payer representatives, and maintain accurate documentation within internal systems. Applicants must have 1-4 years of specific US insurance verification experience, including knowledge of Medicare and Medicaid workflows. The position is based in Bengaluru and requires collaboration with product and engineering teams to support AI-driven healthcare solutions.
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Experience
1-4 years
Function
Operations
Work mode
Onsite, India
Company
Tier 2
What you will work on
This is a specialist role at CG-VAK Software & Exports Ltd. in the healthtech domain focusing on US healthcare benefits verification. The hire will perform insurance eligibility checks, contact payer representatives, and maintain accurate documentation within internal systems. Applicants must have 1-4 years of specific US insurance verification experience, including knowledge of Medicare and Medicaid workflows. The position is based in Bengaluru and requires collaboration with product and engineering teams to support AI-driven healthcare solutions.
TAL's take
Solid operational role in a specific healthtech domain, though the scope is defined as standard operations rather than high-impact engineering.
The JD is highly specific regarding the types of insurance and verification tasks required.
Must haves
- 1-4 years of experience in US health insurance eligibility and benefits verification
- 6 months of hands-on experience in US healthcare insurance verification
- Understanding of commercial, medicare, medicaid, HMO/PPO, VA, DoD insurance types
- Ability to verify deductibles, co-pay, coinsurance, prior auth, and CPT-code specific benefits
- Experience with CRM, RCM, or EMR platforms
- Good communication skills with calling experience to US audience for claims
Tools and skills
About the company
Established software company with a long history, fitting the tier 2 criteria for established product/service firms.
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