Insurance Executive

1 day ago

Vellore TN IN nexus consulting solutions Full time

Job Title Insurance Executive - Hospital Experience Required 2 to 3 Years Department Billing Insurance TPA Reporting To Insurance Billing Manager Key Responsibilities Coordinate with insurance companies TPAs and corporate clients for pre-authorization and claim approvals Review patient documents diagnosis codes and ensure accurate submission of insurance claims Process cashless approvals reimbursement claims and discharge intimation within defined timelines Verify insurance eligibility and policy coverage before admission Maintain and update patient insurance records and ensure all documentation is complete and accurate Follow up on pending approvals queries shortfall documents and claim settlements till closure Coordinate with the billing admission and discharge teams to ensure smooth insurance workflows Monitor and handle denied or rejected claims ensuring timely resubmission with proper justifications Prepare and submit daily MIS reports on claim status approvals and outstanding cases Maintain strong relationships with TPA coordinators and corporate desk representatives Ensure compliance with hospital policies and IRDA TPA guidelines Required Skills Competencies Strong understanding of TPA processes medical insurance policies and cashless procedures Knowledge of ICD codes and medical terminology will be an added advantage Proficiency in claim documentation and follow-up protocols Excellent communication and coordination skills Ability to work under pressure and handle multiple cases simultaneously Proficient in MS Excel Hospital Billing Software TPA Portal Handling Qualification Graduate in Any Discipline Preferred BBA B Com Hospital Administration or related field Certification or prior training in medical insurance billing will be an added advantage Preferred Profile Experience working in Hospital TPA Insurance Desk is mandatory Candidates with 2-3 years of hands-on experience in insurance coordination claim processing or reimbursement handling Key Attributes Detail-oriented with strong follow-up ability Patient handling counselling skills Professional attitude and team coordination Job Types Full-time Permanent Pay 10 485 08 - 28 134 47 per month Benefits Health insurance Leave encashment Life insurance Paid sick time Provident Fund Work Location In person

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