About the role
structured by ORIBenefit Verification Specialist - AI Agents (Healthcare)BengaluruOperation Team /On-siteapply for this jobAbout 100ms100ms 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…
What you will do
- 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.
What they are looking for
- 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
Nice to have
- Experience in specialty pharmacy, oncology, infusion therapy, or behavioral health
- Background working with RCM platforms, EMRs, or AI-based automation tools
Before you apply
- This is a full-time, in-office role based in Bangalore, with partial overlap with US hours.
Benefits
- 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.
Full posting text
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.