Benefits Verification Executive

Job Title: Benefits Verification Executive
Location: Andheri East, Mumbai

Office Timings: Night Shift (7:30 PM to 4:30 AM)
Budget: 3-4 LPA

Immediate joiners preferred.

Job Summary:

We are seeking a dedicated Benefits Verification Executive to join our team. The ideal candidate will be responsible for verifying patient insurance benefits, ensuring accurate documentation, and facilitating smooth communication between patients, healthcare providers, and specialty pharmacies. This role requires strong attention to detail, excellent communication skills, and the ability to thrive in a fast-paced environment.

Key Responsibilities:

• Manage inbound and outbound calls related to benefits verification.
• Conduct full benefit verification with patient insurance providers.
• Accurately document and provide necessary information to the concerned stakeholders.
• Communicate relevant insurance and benefits information to the Patient Access Service Team (PAS)
• Coordinate with Specialty Pharmacy (SP) to confirm drug delivery status.
• Provide transition-related services to participants as per Appendix A.
• Ensure compliance with company policies and industry regulations.

Qualifications & Skills:

• Minimum of 2 years of college education (Graduate/Postgraduate preferred).
• 1+ years of experience in a healthcare call center or related field.
• Experience in US healthcare, benefits verification, or insurance claims processing is preferred.
• Strong English verbal and written communication skills.
• Proficiency in MS Windows and other computer applications.
• Customer service-oriented approach with empathy, active listening, and problem-solving skills.
• Ability to multitask, prioritize, and adapt to changing circumstances in a fast-paced environment.
• Strong organizational skills, attention to detail, and reliability.
• Self-learner with an analytical mindset to understand both the 'how' and 'why' of processes.

Additional Requirements:

• Minimum 1-3 years of experience in a BPO setting.
• Ability to start immediately.
• Must be willing to work onsite in Mumbai.