- Corporate Desk Operations: Serve as the primary point of contact for corporate patients, reviewing Employee Health Insurance (EHI) and Corporate Tie-Up (TPA) guidelines.
- Pre-Authorization: Verify insurance limits, policy coverage, and secure cashless approvals prior to planned or emergency admissions.
- Medical Documentation: Compile and organize medical records, diagnostic reports, and itemized bills according to insurance and corporate SLA requirements.
- Claim Submission & Follow-Up: Submit claims to Third-Party Administrators (TPAs) or corporate HR departments; track and follow up on outstanding receivables.
- Dispute & Denial Management: Investigate rejected claims, coordinate with doctors for clarifications, and file appeals to minimize revenue loss.
- Final Settlement & Reconciliation: Process final discharges by settling co-pays, corporate deductions, and reconciling accounts against hospital management software (HIS).
- Hands on experience with ayushman portal
Pay: ₹9,934.91 - ₹11,000.33 per month
Benefits:
Work Location: In person
