· Punctuality
· Respond to patient inquiries by phone.
· Perform data entry and filing to record patient and insurance data.
· Confirm insurance coverage with insurance companies (GIPSA) with procedural codes.
· Ensure the correct GIPSA tariff sent to the insurance.
· Ensure that the correct documentation is received from patients and insurance companies.
· Ensure correct information is given to the patients about cashless approved / Rejections and other queries.
· Maintaining daily data of number of pre-auths sent, cancellation, stop the process and approvals not received but gone for reimbursement.
· Make sure all the daily data is sent to HOD.
· Ensured that pre-auth sent, claims, reimbursement, mails replying (insurance & reimbursement), queries of all related insurance & reimbursement.
· Making sure all the approval letters handed over in admission office one day before the surgery (write the details in register at admission office).
· All the insurance queries related to cashless to be replied same day.
· Emergencies surgery pre-auth should be send on priority basis.
· Checking the pre-auths documents 3-4 before sending for cashless on time.
· To make sure that patients who did not received the cashless one day before the surgery should be informed as on priority basis.
· All the insurance and reimbursement works to be done by the counselor. Ensure the team work and to be done the continued work in absence of other counselor.
· Making sure enhancement and co-pays are mentioned clearly in the Approval letters.
· Ensure all the materials requirements should be maintained
· Cleanliness of the department
Pay: From ₹17,000.00 per month
Benefits:
- Flexible schedule
- Paid sick time
- Provident Fund
Work Location: In person
