- Pre-authorization and Approval: Coordinating with insurance companies and Third-Party Administrators (TPAs) for prompt approval of cashless treatments, surgical procedures, and enhancements.
- Documentation and Claims Processing: Verifying patient insurance, compiling accurate medical records, submitting claims promptly, and monitoring claim status through to settlement.
- Patient Guidance: Educating patients on their coverage, policy limitations, and co-payments, and answering inquiries regarding billing and claims.
- Liaison and Coordination: Acting as a bridge between insurance companies, consultants, and the hospital billing department.
- Compliance and Record Maintenance: Ensuring all processes meet insurance regulations and hospital policies, while maintaining accurate documentation in the system.
- Handling Discrepancies: Resolving rejected or delayed claims by providing necessary justifications to insurers. Expertia AI +5
Key Requirements:
- Education: Bachelor’s degree in Healthcare Administration, Business, or related field.
- Experience: Previous experience in hospital insurance billing and claim processing.
- Skills: Strong communication, understanding of insurance regulations, and proficiency in hospital information systems
Job Type: Full-time
Pay: ₹15,000.00 - ₹30,000.00 per month
Benefits:
- Health insurance
- Leave encashment
- Paid time off
- Provident Fund
Work Location: In person
