Call Audit Analyst

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.

Ideal Candidate

• Strong Benefit/ Insurance Verification 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) – Strong understanding of insurance types — Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc.
• Mandatory (Experience 3) – Experience in verifying deductibles, co-pay/coinsurance, prior authorization requirements, network status, and J-code/CPT/HCPCS-specific benefits.
• Mandatory (Experience 4) – Ability to accurately document benefit details and maintain data in internal systems (CRM, RCM, or EMR platforms)
• 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)
• Mandatory (Note) - Don't want post insurance verification profiles (Accounts receivables AR etc)
• Preferred (Experience) – Prior experience in specialty pharmacy, oncology, infusion therapy, or behavioral health benefit verification.

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.

Responsibilities

• Take product ideas from ideation to implementation
• Design and develop backend services that expand the capabilities of the product
• Write high quality, structured application/interface code and tests
• Lead engineering discussions to ensure the best practices, maintainability and security of the application
• Participate in design and code reviews

We are looking for

• 3+ years of experience building quality applications
• Proficient in Node JS, NoSQL databases
• Strong working knowledge of Web technologies and APIs
• Passion for best design and coding practices and a desire to develop new bold ideas
• Experience in planning, designing architecture and working with teams
• Experience with SaaS product or an early stage startup is a plus

Minimum 1-5 years of proven sales track record and ability to meet targets.

● Should have an interest in Business Development (B2C/ B2B) for Software Application

● products/solutions.

● Meet prospective clients, execute effective product demonstrations, emphasize product features

● and benefits with a focus on the value of the solution.

● Meet with Committee Members of Apartments and societies to understand the scope of business and

● their expectations.

● Prospect, educate, qualify, and generate interest for Sales Opportunities.

● Onboarding new apartments on the NoBrokerHood platform will be a major KRA for a BD.

● Researching potential leads from the open market, web searches, or digital resources

TECHNICAL SKILLS AND EXPERIENCE:

● Profound Experience in client handling/communication from the beginning till the successful.

◾ Generate business through online portals like Upwork, Fiverr, Freelancer etc.

◾ Bringing new projects through bidding, Client communication, Proposal making/writing.

◾ Experience in handling Indian and International clients.

◾ Must have Excellent Written communication & Writing Skills.

• Acheive Sales Target
• Meeting with clients virtually or during sales visits.
• To meet Corporate Clients
• demonstrating and presenting products.
• establishing new business.
• maintaining accurate records.
• attending trade exhibitions, conferences and meetings.
• reviewing sales performance.
• negotiating contracts and packages.

About Apexon:

Apexon is a digital-first technology services firm specializing in accelerating business transformation and delivering human-centric digital experiences. For over 17 years, Apexon has been meeting customers wherever they are in the digital lifecycle and helping them outperform their competition through speed and innovation. Our reputation is built on a comprehensive suite of engineering services, a dedication to solving our clients’ toughest technology problems, and a commitment to continuous improvement. We focus on three broad areas of digital services: User Experience (UI/UX, Commerce); Engineering (QE/Automation, Cloud, Product/Platform); and Data (Foundation, Analytics, and AI/ML), and have deep expertise in BFSI, healthcare, and life sciences.

Apexon is backed by Goldman Sachs Asset Management and Everstone Capital.

To know more about us please visit:  https://www.apexon.com/" target="_blank">https://www.apexon.com/

Desired Candidate profile:

• 5+ years of Embedded/Linux SW Development relevant Experience in Embedded C++. 
• Expert knowledge in writing software for embedded Systems (Embedded C++ language).
• Experience on OTA would be an added advantage
• Work experience in software development on bare metal, RTOS or Internal Linux. 
• Work experience in developing firmware for 8/16/32 bit microcontrollers (ARM, RISC etc)
• Good understanding w.r.t usage of 1. RTOS like MQX. 
• Bootloader and software update concepts. 
• Communication protocols like TCP/IP,MQTT. 
• Socket programming in Linux environment. 
• Good knowledge on protocols like (RS485, SPI, I2C, ADCs, CAN, LIN) 
• Knowledge of Blue-tooth communication protocols for BLE 4.2/5.1. 
• Proficient in the use of embedded SW Development tool chain (Flash/ debug tool chain, IDE). 
• Version Control Systems –GIT 
• Should have detailed knowledge on microcontrollers/microprocessors 
• Experience in scripting languages like Shell / CAPL / Make/Python etc. 
• Experience in using tools like Logiscope / Function Generator / Oscilloscope, etc. 
• Good knowledge in reading schematics and datasheets. 
• Excellent analytical skills and problem-solving skills. 
• Strong communication and interpersonal skills. 
• Must be a self-starter. 
• Ability to work as part of a dedicated project team and independently 

• hands-on coding
• guide the team through industry best practices,
• lead the team by example,
• be the SME in Sharepoint,
• implement and execute the technology roadmap,
• and long-term thinking of strategies to migrate or build a new app using SharePoint Online.

Intro:
Empala is an exciting new fintech launching in Singapore. Empala aims to help workers in the SEA region get access to their pay & helping them save for unexpected expenses. 

Job Description:

As fullstack developer at Empala you will be building and shaping our product. Our current offerings are centered around a React Native app (iOS & Android) with a serverless backend.

Empala is a flat and young organization, meaning every hand has a lasting impact on our product and our culture. You will report directly to the CTO and will in general be working closely with the founders. The job is of course mostly focused on building and maintaining our products, but in a small team you will have to wear a lot of hats, you could get involved in sales, marketing or anything in between, ideally you will see this as a positive thing and a chance to learn more about our users/customers/new areas of work. 

Benefits: 

At Empala we offer a competitive package that will be a mix of salary and employee stock options. We pay ourselves on demand meaning you can get paid for the work you have done when you wish it, be it daily, weekly, monthly or a combination of above. 

Requirements: 

The following requirements are a guideline, if you are missing some points but you are confident that you can master them in a reasonable amount of time there might still be a place for you at Empala. 

Preferred

• React Native 
• Backend tools and frameworks (express or any other, non JS is OK as well) 
• Cloud providers, AWS preferred 
• Git

Other requirements 

• Fluent in english 
• Proactive approach to problem solving 
• A hunger to get stuff done 

Nice to have: 

• Experience with Redux, GraphQL, Typescript, AWS Amplify
• Experience with SCRUM and/or TDD