Insurance Co-ordinator

6 days ago

Kovilambakkam Chennai Tamil Nadu, India Sri Kauvery Medical Care (India) Pvt Ltd Full time

Position Overview:
The Insurance Coordinator for a hospital plays a vital role in ensuring the organization receives proper reimbursements for medical services rendered to patients. They are responsible for handling insurance claims, verifying patient coverage, and communicating with insurance companies to resolve any billing or reimbursement-related issues. The Insurance Coordinator also assists patients in understanding their insurance coverage and works closely with the hospital's billing and financial departments.

Key Responsibilities:
1. Insurance Verification:

- Verify patient insurance coverage and benefits before scheduled appointments or procedures.
- Collect and update patient insurance information, ensuring accuracy and completeness.
- Communicate with patients regarding any pre-authorization requirements or documentation needed

for successful insurance claims.

2. Claim Processing and Submission:

- Accurately complete insurance claim forms and submit them to appropriate insurance carriers in a timely manner.
- Review and edit claim submissions to ensure compliance with insurance company requirements, minimizing potential denials.
- Follow up on pending claims, resubmit rejected claims, and appeal denials when necessary.

3. Insurance Follow-Up and Resolution:

- Monitor claim statuses to ensure timely processing and reimbursement.
- Identify and resolve claim payment discrepancies, including denied, underpaid, or rejected claims.
- Collaborate with insurance companies to resolve billing issues, including providing additional

documentation or clarifications as needed.

4. Patient Education and Assistance:

- Educate patients on their insurance coverage, including co-pays, deductibles, and out-of-pocket expenses.
- Assist patients in understanding insurance claim processes and handling any insurance-related inquiries or concerns.
- Provide guidance and support to patients in navigating insurance networks and finding in-network healthcare providers.

5. Collaboration and Documentation:

- Collaborate with physicians, nurses, and other healthcare professionals to ensure accurate documentation of services provided for insurance claims.
- Maintain complete and organized records of insurance-related activities, including claim submissions, follow-up communications, and reimbursement details.
- Monitor and report on key performance indicators related to insurance claims, such as denial rates and reimbursement turnaround times.

Qualifications and Skills:

- High school diploma or equivalent; associate's or bachelor's degree in a related field preferred.
- Prior experience in healthcare insurance coordination or medical billing.
- Knowledge of insurance policies, regulations, and reimbursement processes.
- Strong attention to detail and accuracy in completing insurance forms and documentation.
- Excellent communication and interpersonal skills, with the ability to explain complex insurance information to patients in a clear and understandable manner.
- Proficient computer skills, including experience with insurance billing software and electronic health records (EHR) systems.
- Ability to multitask and prioritize workload to ensure timely completion of insurance-related tasks.
- Strong problem-solving and analytical abilities to address insurance claim issues and resolve billing discrepancies.
- Knowledge of HIPAA regulations and patient privacy requirements.

Salary : Rs.12000 to Rs.15000 as per the experience

7845839475

Pay: ₹12,000.00 - ₹15,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Day shift

Work Location: In person

Pay: ₹9,965.42 - ₹32,535.10 per month

**Benefits**:

- Provident Fund

Schedule:

- Day shift

Supplemental Pay:

- Yearly bonus

**Experience**:

- total work: 4 years (preferred)

Work Location: In person

**Speak with the employer**
+91 7845839475

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