ఇంటర్నేషనల్ కస్టమర్ సపోర్ట్ ఎగ్జిక్యూటివ్

Hiring for International Customer Support Executive (Health Insurance, USA) - Chat|Email|Voice

Experience: 1 year - 4 year

Mode: Work from office (5 days working)

Location: Domlur, Bengaluru

Required:

• 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

• Must be comfortable working 5 days WFO, including rotational night shifts (5:30 PM – 6:50 AM IST)

Mandatory:

• Strong Benefit/ Insurance Verification Specialists profile

• Must have minimum 6 months of hands-on experience in US healthcare insurance eligibility and benefits verification.

• Must have worked on payer portals such as Availity, NaviNet, Aetna, UHC, or equivalent.

• Strong understanding of insurance types — Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc.

• Experience in verifying deductibles, co-pay/coinsurance, prior authorization requirements, network status, and J-code/CPT/HCPCS-specific benefits.

• Ability to accurately document benefit details and maintain data in internal systems (CRM, RCM, or EMR platforms)

• Good communication skills (Must have calling experience to US audience for claims)

Role & Responsibilities

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.

• It is a Full Time కస్టమర్ మద్దతు / టెలికాలర్ job for candidates with 1 - 4 years of experience.