Cutshort logo
TalentXO logo
Team Lead-Benefit Verification Specialist (US Health Insurance)
Team Lead-Benefit Verification Specialist (US Health Insurance)
TalentXO's logo

Team Lead-Benefit Verification Specialist (US Health Insurance)

tabbasum shaikh's profile picture
Posted by tabbasum shaikh
4 - 12 yrs
₹4L - ₹12L / yr
Bengaluru (Bangalore)
Skills
Customer Relationship Management (CRM)

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

  • Strong Benefit/ Insurance Verifcation Specialists profile
  • Mandatory (Experience 1) – Must have 4+ years of experience in US healthcare insurance eligibility and benefits verification
  • Mandatory (Experience 2) – Must have 2+ years of experience of handling team
  • Mandatory (Experience 3) – Must have Strong understanding (Subject matter expert) of insurance types — Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc.
  • Mandatory (Experience 4) – Experience in verifying deductibles, co-pay/coinsurance, prior authorization requirements, network status, and J-code/CPT/HCPCS-specific benefits.
  • Mandatory (Experience 5) – Ability to accurately document benefit details and maintain data in internal systems (CRM, RCM, or EMR platforms)
  • Mandatory (Experience 6) – Must have worked on payer portals such as Availity, NaviNet, Aetna, UHC, or equivalent.
  • Manadatory (Skills) - Good communication skills
  • 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.


Read more
Users love Cutshort
Read about what our users have to say about finding their next opportunity on Cutshort.
Shubham Vishwakarma's profile image

Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
Companies hiring on Cutshort
companies logos

About TalentXO

Founded :
2018
Type :
Product
Size :
20-100
Stage :
Profitable

About

N/A

Company social profiles

N/A

Similar jobs

Bengaluru (Bangalore)
9 - 12 yrs
₹60L - ₹70L / yr
skill iconJava
Microservices

Mandatory (Experience 1): Must have 9+ years in backend engineering with Java, Spring/Spring Boot, and microservices building large and scalable systems with clear production scale or reliability impact (latency, throughput, uptime, etc.) mentioned in the resume

Mandatory (Experience 2): Must have been SDE-3 / Tech Lead / Lead SE for at least 2.5 years (should be there in the resume titles)

Mandatory (Tech skills 1): Strong in DSA, system design, design patterns, and problem-solving

Mandatory (Tech skills 2): Proven experience building scalable, reliable, high-performance distributed systems with architecture ownership and experience in core backend/platform services rather than feature teams

Mandatory (Tech skills 3): Hands-on with SQL/NoSQL databases, REST/gRPC APIs, concurrency & async processing

Mandatory (Tech skills 4): Experience in AWS/GCP, CI/CD pipelines, and observability/monitoring

Mandatory (Communication): Excellent ability to explain complex technical concepts to varied stakeholders

Mandatory (Company) - Top New Age, Fast-scaled, Tech-First Product Companies (Like Series B+ / Unicorn Indian startups, or Tech-first Global companies like Amazon, Google, Microsoft etc)

Mandatory (Stability): Must have stayed for at least 2 years with each of the previous companies

Mandatory (Education): B.Tech in computer science or related field from Tier 1, Tier 2 colleges

Mandatory (Note 1): Education can be ignored for candidates with proven experience in strong, reputed product companies

Read more
Hirebloc Ventures Pvt Ltd
Faridabad, Ludhiana, Jaipur, Kolkata, Jalandhar
1 - 4 yrs
₹1L - ₹4L / yr
Sales
Communication Skills

Position: Account Manager Sales

Location: Faridabad/Jaipur/Kolkata/Punjab

Experience required: 1- 3 years (B2B Sales) – Field Visit for meetings

Salary Range: 3-4 LPA

Working Days: 5.5 days working (First 2 Saturdays and all Sundays are off)

Job Type: Full Time Requirement: Bike and Laptop


Role Description

We are looking for a Key Sales Manager to join our team at iTech Ecommerce Pvt. Ltd. This is a fulltime, on-field sales role. The ideal candidate will be responsible for managing and nurturing B2B leads, as well as acquiring new clients to drive business growth. Key Responsibilities:

 Identify, generate, and manage new B2B leads

 Build and maintain strong client relationships

 Conduct meetings and presentations with prospective clients

 Collaborate with internal teams to ensure client satisfaction and account growth

 Meet and exceed sales targets

 Working efficiently on CRM

Eligibility Criteria:

 Prior experience in the sales process, B2B preferred.

 Excellent lead generation, communication, and negotiation skills

 Strong interpersonal and relationship-building abilities

 Smart worker who can figure out the challenges to convert lead.

 Self-motivated person

Note: Only male candidates are preferred for this role as of now, two wheeler and a laptop (in working condition) are mandatory. 

Read more
Vital20 Communication
Vital20 Communication
Agency job
via TIGI HR Solution Pvt. Ltd. by Vaidehi Sarkar
Ahmedabad
2 - 4 yrs
₹2L - ₹4L / yr
Animation
2D animation
3D modeling
Motion graphic design

Role: Animator

  • Exp: 2-3 Years 
  • CTC: up to 30K
  • Location: Ahmedabad


Requirements:

● 2 years of animation experience in advertising or creative agency.

● Proficiency in animation software (e.g., Adobe After Effects, Maya).

● Strong portfolio showcasing diverse animation styles.

● Excellent communication and collaboration skills.

● Attention to detail and creativity.


If interested share your updated resume on 82008 31681

Read more
IDFC Bank
Agency job
via Pluginlive by Harsha Saggi
Chennai
10 - 15 yrs
₹20L - ₹30L / yr
skill iconVue.js
skill iconAngularJS (1.x)
skill iconAngular (2+)
skill iconReact.js
skill iconJavascript
+8 more

Technical Leadership: Lead, mentor, and inspire a team of engineers to deliver high-

quality software solutions. Provide technical guidance and support to team members,ensuring adherence to coding standards and best practices.

• Full Stack Development: Hands-on coding in ReactJS, Golang, or Java to contribute

directly to project deliverables. Lead by example, demonstrating best practices in coding,

design, and testing.

• Micro services and Cloud-Native Architecture: Design, implement, and maintain

microservices architecture for scalable and resilient applications. Leverage cloud-native

technologies and principles to build robust and efficient systems.

• Squad Management: Independently manage engineering squads, ensuring effective

collaboration and delivery of project goals. Foster a positive and collaborative team

culture, encouraging innovation and continuous improvement.

• Cross-Functional Collaboration: Collaborate with product managers, UX/UI designers,

and other stakeholders to define project requirements and priorities. Ensure alignment

between technical solutions and business objectives.

• Technology Stack Expertise: Stay updated on industry trends and emerging

technologies. Evaluate and introduce new technologies/tools to enhance the

development process.

Read more
Cibirix
at Cibirix
2 recruiters
Anshika Garg
Posted by Anshika Garg
Indore
0 - 1 yrs
₹1L - ₹1.5L / yr
ThreeJs (Three.js)
skill iconJavascript
  • Great knowledge of Javascript
  • Minimum experience of 6 months to 1 year
  • After 3 months, assured permanent job.
  • Must have knowledge of Three.js 
  • Energetic and eager to tackle new projects and ideas
Read more
Global Media Agency - A client of Merito
Global Media Agency - A client of Merito
Agency job
via Merito by Merito Talent
Gurugram, Bengaluru (Bangalore), Mumbai
4 - 9 yrs
Best in industry
skill iconMachine Learning (ML)
skill iconData Science
media analytics
SQL
skill iconPython
+4 more

Our client combines Adtech and Martech platform strategy with data science & data engineering expertise, helping our clients make advertising work better for people.

 
Key Role:
  • Act as primary day-to-day contact on analytics to agency-client leads
  • Develop bespoke analytics proposals for presentation to agencies & clients, for delivery within the teams
  • Ensure delivery of projects and services across the analytics team meets our stakeholder requirements (time, quality, cost)
  • Hands on platforms to perform data pre-processing that involves data transformation as well as data cleaning
  • Ensure data quality and integrity
  • Interpret and analyse data problems
  • Build analytic systems and predictive models
  • Increasing the performance and accuracy of machine learning algorithms through fine-tuning and further
  • Visualize data and create reports
  • Experiment with new models and techniques
  • Align data projects with organizational goals


Requirements

  • Min 6 - 7 years’ experience working in Data Science
  • Prior experience as a Data Scientist within a digital media is desirable
  • Solid understanding of machine learning
  • A degree in a quantitative field (e.g. economics, computer science, mathematics, statistics, engineering, physics, etc.)
  • Experience with SQL/ Big Query/GMP tech stack / Clean rooms such as ADH
  • A knack for statistical analysis and predictive modelling
  • Good knowledge of R, Python
  • Experience with SQL, MYSQL, PostgreSQL databases
  • Knowledge of data management and visualization techniques
  • Hands-on experience on BI/Visual Analytics Tools like PowerBI or Tableau or Data Studio
  • Evidence of technical comfort and good understanding of internet functionality desirable
  • Analytical pedigree - evidence of having approached problems from a mathematical perspective and working through to a solution in a logical way
  • Proactive and results-oriented
  • A positive, can-do attitude with a thirst to continually learn new things
  • An ability to work independently and collaboratively with a wide range of teams
  • Excellent communication skills, both written and oral
Read more
OneFin
at OneFin
6 recruiters
Sahil Thomas
Posted by Sahil Thomas
Remote only
1 - 2 yrs
₹4L - ₹8L / yr
skill iconPython
skill iconDjango
skill iconFlask
skill iconAmazon Web Services (AWS)
Celery

Responsibilities:

 

  • Design and implement backend infrastructure and APIs.

  • Write high quality code that is robust, readable and scales.

  • Possess the drive to dive deep. thrive and progress even in ambiguous situations.

  • Encourage and support knowledge sharing within teams and external groups.

  • Troubleshoot & debug applications.

  • Adopt problem solving as a way of life - always go to the root cause.

  • Collaborate with the team to discuss and implement ideas.

  • Build responsive, robust and optimised applications.

 

Requirements:

 

  • Passionate about building backend systems.

  • Desire to explore new ideas, open to other ideas as well.

  • Love for writing clean, beautiful, readable and testable code.

  • Experience in designing extensible DRY code.

  • Our stack is based on Django, Python3 Celery, Angular and Postgres.

  • We expect you to have a good understanding of Python. It's even better if you are familiar with some of Git. Django, Celery, Redis and Unix Shell.

Read more
TVS Credit Services
at TVS Credit Services
2 recruiters
Vinodhkumar Panneerselvam
Posted by Vinodhkumar Panneerselvam
Chennai
4 - 10 yrs
₹10L - ₹20L / yr
skill iconData Science
skill iconR Programming
skill iconPython
skill iconMachine Learning (ML)
Hadoop
+3 more
Job Description: Be responsible for scaling our analytics capability across all internal disciplines and guide our strategic direction in regards to analytics Organize and analyze large, diverse data sets across multiple platforms Identify key insights and leverage them to inform and influence product strategy Technical Interactions with vendor or partners in technical capacity for scope/ approach & deliverables. Develops proof of concept to prove or disprove validity of concept. Working with all parts of the business to identify analytical requirements and formalize an approach for reliable, relevant, accurate, efficientreporting on those requirements Designing and implementing advanced statistical testing for customized problem solving Deliver concise verbal and written explanations of analyses to senior management that elevate findings into strategic recommendations Desired Candidate Profile: MTech / BE / BTech / MSc in CS or Stats or Maths, Operation Research, Statistics, Econometrics or in any quantitative field Experience in using Python, R, SAS Experience in working with large data sets and big data systems (SQL, Hadoop, Hive, etc.) Keen aptitude for large-scale data analysis with a passion for identifying key insights from data Expert working knowledge in various machine learning algorithms such XGBoost, SVM Etc. We are looking candidates from the following: Experience in Unsecured Loans & SME Loans analytics (cards, installment loans) - risk based pricing analytics Experience in Differential pricing / selection analytics (retail, airlines / travel etc). Experience in Digital product companies or Digital eCommerce with Product mindset and experience Experience in Fraud / Risk from Banks, NBFC / Fintech / Credit Bureau Experience in Online media with knowledge of media, online ads & sales (agencies) - Knowledge of DMP, DFP, Adobe/Omniture tools, Cloud Experience in Consumer Durable Loans lending companies (Experience in Credit Cards, Personal Loan - optional) Experience in Tractor Loans lending companies (Experience in Farm) Experience in Recovery, Collections analytics Experience in Marketing Analytics with Digital Marketing, Market Mix modelling, Advertising Technology
Read more
Saffron Tech
at Saffron Tech
1 recruiter
Nidhi Kohli
Posted by Nidhi Kohli
Delhi (Saket), NCR (Delhi | Gurgaon | Noida)
1 - 3 yrs
₹1.8L - ₹3.6L / yr
Software Testing (QA)
Test Automation (QA)
Selenium
Automation
Manual testing
+1 more
Job Description:


  • 1 - 3 years of experience in Automation Testing.
  • Must have experience working with Automation Testing and Basic manual, POSTMAN, API Testing, Mobile Testing  and Jmeter.
  • Good understanding of SLDC and STLC
  • Design, write and execute detailed test Cases for web and mobile application
  • Contribute ideas to improve our QA processes and best practices based on your extensive experiences.
  • Work with development team to understand the underlying technology to improve the authored test cases.
  • Execute the test cases and ensure that the product is adhering to the functional specs authored.
  • Hands on Experience in Mobile Application (Android/IOS) end to end testing,
  • functional and UI Testing
  • Responsive Testing
  • Experience using defect management tool
  • Excellent Logical and Reasoning thinking must
  • Excellent communication is a must
Read more
nspira management services
krishna saikumar
Posted by krishna saikumar
Remote, Hyderabad
2 - 4 yrs
₹4L - ₹8L / yr
skill iconReact.js
skill iconRedux/Flux
Routers
skill iconHTML/CSS
react saga
+2 more
While these requirements are a guideline, feel free to apply even if you don't meet some of these.
1. Experience working with a Java Script framework.
2. In-depth understanding of Java Script, the DOM, and relevant concepts
3. Proficiency with browser-based debugging and performance testing
4. Thorough understanding of React.js etc., (Redux) and its core principles
5. Familiarity with newer specifications of ECMA Script
6. Familiarity with RESTful APIs
7. Ability to understand business requirements and translate them into technical requirements
8. Familiarity with code versioning tools such as Git, SVN, and Mercurial

Note: Right candidate will have no bar
Read more
Why apply to jobs via Cutshort
people_solving_puzzle
Personalized job matches
Stop wasting time. Get matched with jobs that meet your skills, aspirations and preferences.
people_verifying_people
Verified hiring teams
See actual hiring teams, find common social connections or connect with them directly.
ai_chip
Move faster with AI
We use AI to get you faster responses, recommendations and unmatched user experience.
Did not find a job you were looking for?
icon
Search for relevant jobs from 10000+ companies such as Google, Amazon & Uber actively hiring on Cutshort.
companies logo
companies logo
companies logo
companies logo
companies logo
Get to hear about interesting companies hiring right now
Company logo
Company logo
Company logo
Company logo
Company logo
Linkedin iconFollow Cutshort
Users love Cutshort
Read about what our users have to say about finding their next opportunity on Cutshort.
Shubham Vishwakarma's profile image

Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
Companies hiring on Cutshort
companies logos