Benefit Verification Specialist - AI Agents (Healthcare)
Bengaluru, India · Posted Nov 11, 2026
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.
About the Role
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.
Requirements
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
Good to Have
Experience in specialty pharmacy, oncology, infusion therapy, or behavioral health
Background working with RCM platforms, EMRs, or AI-based automation tools
Why 100ms.ai
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.
Website
https://www.100ms.ai/
Ovii Interpretation
This Benefits Verification Specialist role handles U.S. health insurance eligibility and benefits checks for patients receiving specialty care. The work includes validating coverage details, contacting payers, documenting results, and coordinating on data issues in an in-office operations role based in Bangalore.
Role at a glance
U.S. insurance benefits verificationHealthcare operationsFull-time, in-officeBangalorePartial overlap with U.S. hours
Check insurance eligibility and benefits for commercial and government payers.
Confirm deductibles, co-pays or coinsurance, network status, referrals, prior authorization, and code-specific coverage.
Contact payer representatives by phone or through payer portals, and follow up on payer responses.
Record verification findings accurately in internal systems.
Work with internal teams to address missing or inconsistent information.
Coordinate with technology teams on data and system improvements.
Complete verification work on time, meeting accuracy expectations and defined SLAs.
Good fit signals
Has at least two years of experience verifying U.S. healthcare insurance benefits.
Understands insurance types and payer-specific benefits rules, including working knowledge of CPT and HCPCS codes.
Can communicate clearly in written and spoken English and maintain precise documentation.
Experience in specialty pharmacy, oncology, infusion therapy, or behavioral health is helpful but not required.
Experience with RCM platforms, EMRs, or AI automation tools is an advantage, not a stated requirement.
Meet 100ms AI
100ms AI builds voice-first AI agents for healthcare operations, with a focus on reducing administrative work and delays in patient access. Its agents automate workflows such as patient intake, scheduling, benefits verification, prior authorization, triaging and telehealth coordination, including workflows for specialty practices and patient-support programs. The company emphasizes healthcare-grade safety, human escalation, HIPAA compliance and natural low-latency conversations. 100ms originally built real-time audio and video infrastructure and says its platform has powered more than a billion minutes of conversations; it began its healthcare AI focus in 2024.
Founded
2020
Company size
51-200 employees
Company stage
Series A
Headquarters
San Francisco, USA
Why work here
100ms offers candidates the opportunity to work on healthcare AI agents handling complex, real-world patient access workflows such as benefits verification, prior authorization and intake. The company is backed by investors including Accel, Alpha Wave, Z47, LocalGlobe and STRIVE and has raised $24.5 million. Its founding team has experience building large-scale real-time infrastructure at Meta and Disney+ Hotstar, while current engineering roles involve LLM agents, evaluation systems, Python services and modern web development. 100ms also participated in the Mayo Clinic Platform Accelerate program in 2026. Candidates should note that many current Bengaluru engineering and product roles emphasize regular in-office work.
Co-founder and CEO of 100ms. Gupta previously worked on large-scale real-time video infrastructure at Meta and served as VP of Engineering at Disney+ Hotstar. He studied at Madan Mohan Malaviya University of Technology and now applies his experience in scalable, low-latency communications to AI agents for healthcare and patient access.
Co-founder and COO of 100ms. Behera previously held product leadership roles at Hotstar and co-founded Gozoomo. He is an IIT Bombay alumnus and leads operating and product efforts as 100ms expands from real-time communications infrastructure into healthcare AI and patient-access automation.
Co-founder and CTO of 100ms. Dwivedi previously worked at Hotstar, where he helped build its in-house video processing platform, and earlier worked in software engineering roles. He studied Information Technology at Motilal Nehru National Institute of Technology and brings deep experience in scalable media and infrastructure engineering.
100ms selected for Mayo Clinic Platform Accelerate cohort
Mayo Clinic Platform
Mayo Clinic Platform included 100ms in its February 2026 Accelerate cohort, describing the company as building AI agents for patient access across intake, benefits verification, prior authorization, triaging and scheduling for specialty practices.
100ms showcases AI agents across the patient access workflow at Hub West 2026
LinkedIn
100ms presented agents spanning patient intake through fulfillment at Hub & Specialty Pharmacy Models West 2026, including sessions focused on the safety and quality of AI-powered patient and payer calls.
100ms introduces its AI Case Manager for hub operations
LinkedIn
At Asembia's AXS26 Summit, 100ms highlighted its AI Case Manager for healthcare hub operations, including automated enrollment processing, benefits verification and monitoring of calls for adverse events and product quality complaints.