Key Responsibilities:
- Verify patient insurance details and eligibility before admission.
- Prepare and submit pre-authorization forms and required medical documents to the respective TPA/insurance company.
- Coordinate with treating doctors to gather diagnosis, treatment plan, and cost estimates.
- Follow up with insurance companies/TPAs for timely approval of pre-authorization requests.
- Update approval status in the hospital management system and inform the billing/admission desk.
- Handle queries related to pre-authorization approvals or denials.
- Maintain accurate records of all submitted and approved claims.
- Coordinate with the billing team for final claim submission post-discharge.
- Ensure compliance with hospital and TPA protocols.
Qualification:
Pay: ₹18,000.00 - ₹40,000.00 per month
Benefits:
- Cell phone reimbursement
- Health insurance
- Internet reimbursement
- Provident Fund
Work Location: In person
