
Hospital Insurance Coordinator
4 days ago
An Insurance Executive role involves managing and coordinating all insurance-related processes, ensuring smooth and timely reimbursement of hospital bills.
Key Responsibilities- Coordinate with patients, relatives, and third-party administrators (TPAs) for insurance documentation.
- Handle pre-authorization requests and obtain approval from insurance companies before procedures.
- Collect and verify insurance forms, ID cards, and related documentation from patients.
- Maintain accurate and up-to-date records of patient case files for claim processing.
- Follow up with TPAs for claim approvals, denials, and payments.
- Maintain updated knowledge of insurance policies, procedures, and network hospitals.
- Resolve queries from patients or attendants regarding insurance coverage and eligibility.
- Maintain detailed logs of claims submitted and received.
- Collaborate with the billing and finance team for reconciliation of insurance dues.
- Prepare regular management information system (MIS) reports related to insurance claim status and rejections.
- Bachelor's degree in Commerce, Business Administration, or a relevant field.
- 1-3 years of experience in hospital insurance processing or TPA coordination.
- Familiarity with hospital billing software and insurance portals.
- Good understanding of regulatory norms and medical terminologies.
- Strong communication and interpersonal skills.
- Attention to detail with good documentation practices.
- Ability to handle pressure and coordinate with multiple teams.
- Fluent in English, spoken and written.
- Proficient in Microsoft Excel and hospital systems.
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