Job Summary:
We are seeking a proactive and detail-oriented Insurance Executive to manage insurance and TPA-related processes, including pre-authorization, claim processing, documentation, and coordination with patients, insurance companies, and hospital departments to ensure seamless cashless and reimbursement services.
Key Responsibilities:
- Handle insurance and TPA desk operations efficiently.
- Process pre-authorization requests and obtain approvals from insurance companies/TPAs.
- Coordinate with doctors, nursing staff, and other departments to collect required medical documents.
- Ensure timely submission of insurance claims and supporting documents.
- Monitor claim status and follow up with insurance companies/TPAs for approvals and settlements.
- Verify patient insurance eligibility and policy coverage.
- Assist patients and attendants with insurance-related queries and claim procedures.
- Prepare and maintain accurate records of approvals, claims, denials, and settlements.
- Coordinate discharge clearance for insured patients.
- Resolve claim rejections, deductions, and billing discrepancies.
- Ensure compliance with hospital policies, insurance guidelines, and NABH standards.
- Generate periodic reports related to insurance approvals, claims, and settlements.
Required Qualifications:
- Bachelor's Degree in any discipline.
- Knowledge of insurance, TPA, and healthcare claim processes preferred.
- Experience: 1 year to 3 years
Interested candidate call 8754464010
Pay: ₹17,000.00 - ₹25,000.00 per month
Benefits:
- Paid sick time
- Paid time off
- Provident Fund
Work Location: In person
