Insurance Executive

Job details

Job responsibilities:

· Obtain referrals and pre-authorizations as required for procedures

· Check eligibility and benefit verification

· Review patient bills for accuracy and completeness and obtain any missing information

· Prepare, review, and transmit claims using billing software, including electronic and paper claim processing

· Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid

· Follow up on unpaid claims within standard billing cycle timeframe

· Check each insurance payment for accuracy and compliance with contract discount

· Call insurance companies regarding any discrepancy in payments if necessary

· Identify and bill secondary or tertiary insurances

· All accounts are to be reviewed for insurance or patient follow-up

· Research and appeal denied claims

· Answer all patient or insurance telephone inquiries pertaining to assigned accounts.

· Set up patient payment plans and work collection accounts

· Update billing software with rate changes

· Updates cash spreadsheet, runs collection reports

Discipline:

· Punctuality & Regular Attendance

· Good Conduct

Key Competencies:

· Organizational & time Management skills

· Keyboard/Computer skill

· Professionalism

· Communication skills (written/verbal)

· Problem solving skills

· Vendor Management

· Negotiation Skills

· Inter Departmental Coordination

Job Types: Full-time, Permanent, Fresher

Pay: ₹9,706.81 - ₹28,000.00 per month

Benefits:

Work Location: In person