Walkin - Hospital TPA Insurance Coordinator - 2+yrs Exp - Siruseri OMR

2 days ago

Chennai, India Drhi Memorial Hospital Full time

Walkin: Mon to Sat between 11am to 3pm - Siruseri Unit

Job Title: Insurance Co-ordinator

Role & responsibilities:

  • List out the total Number Of credit patients (All Insurance).
  • To send the Pre- Authorization form to the concern insurance company.
  • Explain the Admission & Discharge procedure to the patient & attenders also.
  • All data's and activities should be computerized.
  • Watch the approval status and query reply to be update shortly.
  • To Proper communication about the patient Admission, Approval, Enhancement procedure, Discharge, Payment, and cancellation process.
  • The most common job duties for a health unit coordinator are clerical tasks like answering phones and processing paperwork, including discharge, transfer, and admittance forms.
  • Health unit coordinators also often act as a liaison between patients, nurses, doctors, and different departments within the hospital or care facility.
  • Other tasks can include scheduling procedures like tests and x-rays, transcribing doctors' orders, and ordering medical and office supplies.
  • Health unit coordinators are a part of a broader medical team, and are expected to keep pace with the potentially hurried and stressful environments in which they work.
  • Heath care coordinators work closely with patients on a one-on-one basis.
  • They provide guidance, support, and advice to patients dealing with complex medical issues.
  • These professionals can help their clients navigate through a medical care scenario that may involve a variety of different doctors and treatment methods.
  • Duties can include scheduling appointments, assisting with major decisions, helping patients understand complex medical information, evaluating care quality, and working with other health care professionals to ensure that the correct path is being taken.
  • To Properly Intimate the consultants about credit limits.
  • To make sure the Surgery details, Summary follow ups with consultants.
  • To maintain the good rapport with consultants.
  • Follow ups for consultant Payments.
  • Reporting to Head of the department.

Job Title: Executive - Credit Recovery

Role & responsibilities:

  • Marking Despatch details & updating claim details in KMH Internals
  • Combinedly doing OS reconciliations as required with TPA/Corporates
  • Sending out monthly OS statements / letters to TPA. / Corporates as may be agreed from timeline
  • Marking Despatch details & updating claim details in KMH Internals
  • Delivering Doctor's cheque with in time line
  • Receiving acknowledgements for cheques submission from doctor & closing the entry in KMH DERN
  • Collecting our Hospital other unit bills & submitting at agreed corporates.
  • Follow up with TPA/Corporates for refund of collectible disallowance
  • Regular follow up for renewing for MOU with TPA/Corporates
  • Submitting Hospital Revised Tariff list to TPA / Insurance
  • Reporting to Senior Officer - Credit Recovery

Preferred candidate profile:

  • Any Degree Holder (UG/PG Arts & Science)
  • A minimum of 2 to 10 years of experience in Insurance.
  • Working knowledge of Insurance standards
  • Proficient in Microsoft Office.
  • Strong attention to details.

Perks and benefits:

  • ESI, EPF
  • Gratuity

Contact person: Naveenkumar - HR -

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