- Cashless Approval & Processing: Liaise with insurance companies/TPAs to secure pre-authorizations for planned and emergency admissions.
- Billing & Documentation: Prepare accurate hospital bills (IP/OP) and submit necessary documents to insurance providers, including CGHS/government schemes.
- Patient Coordination: Act as the primary point of contact for patients regarding insurance coverage, eligibility, and document submission.
- Query Resolution & TAT Maintenance: Monitor claims status and respond to queries from TPAs within the specified Turnaround Time (TAT) to avoid delays.
- Empanelment: Manage the onboarding, renewal, and relationship with insurance TPAs and corporate clients.
- Audit & Reporting: Conduct audits of hospital cashless facilities and prepare weekly/daily reports on pending claims, payments, and approvals.
Pay: ₹15,000.00 - ₹25,000.00 per month
Benefits:
Work Location: In person
