Leading team performance for ensure financial protection
Coordinate with insurance companies and TPAs for patient admission approvals and claim processing.
Verify patient insurance eligibility, coverage details, and policy benefits.
Handle cashless hospitalization approvals and pre-authorization requests.
Ensure timely submission of insurance claims with required supporting documents.
Follow up on pending approvals, claim settlements, and reimbursement status.
Coordinate with billing, nursing, medical records, and clinical departments for claim documentation.
Review insurance claims for completeness and accuracy before submission.
Resolve claim rejections, denials, and discrepancies with insurance providers.
Maintain records of insurance claims, approvals, settlements, and pending cases.
Prepare insurance MIS reports and claim status reports.
Ensure compliance with hospital insurance policies and payer guidelines.
Support patients and attendants regarding insurance procedures and documentation requirements.
Maintain confidentiality of patient and insurance information.
Coordinate with finance and accounts departments for payment reconciliation.
Pay: From ₹30,000.00 per month
Work Location: In person
