Insurance Coordinator

**Role Overview**:
The Insurance Coordinator is responsible for managing and coordinating all insurance-related activities within the hospital. This includes verifying patient insurance coverage, processing claims, and ensuring effective communication between patients, healthcare providers, and insurance companies. The Insurance Coordinator plays a vital role in facilitating the claims process and ensuring a smooth experience for patients regarding their insurance benefits.

**Key Responsibilities**:

- **Insurance Verification**:

- Verify patient insurance coverage and benefits prior to admission or treatment.
- Ensure that all necessary pre-authorizations are obtained for procedures and services as required by insurance companies.
- **Claims Processing**:

- Assist in preparing and submitting insurance claims for inpatient and outpatient services, ensuring accuracy and compliance with insurance requirements.
- Monitor the status of claims and follow up on outstanding claims with insurance providers.
- **Patient Assistance**:

- Act as the primary point of contact for patients regarding insurance inquiries, benefits, and claims status.
- Provide clear explanations to patients about their insurance coverage, payment responsibilities, and the claims process.
- **Documentation and Record Keeping**:

- Maintain accurate and organized records of insurance verifications, claims submissions, and correspondence with insurance companies.
- Ensure all documentation is up-to-date and readily available for audits and compliance checks.
- **Collaboration with Healthcare Providers**:

- Work closely with clinical departments to ensure accurate coding and documentation for all services rendered to patients.
- Collaborate with billing staff to ensure that all necessary information is captured for timely claims processing.
- **Dispute Resolution**:

- Address and resolve any discrepancies or issues related to insurance claims or patient billing inquiries.
- Communicate effectively with insurance companies to clarify issues and seek resolutions for denied or delayed claims.
- **Reporting**:

- Assist in preparing reports on insurance claims, including metrics related to approval rates, denials, and outstanding claims.
- Provide feedback to the Insurance Manager regarding trends or issues encountered in the claims process.
- **Compliance**:

- Ensure compliance with hospital policies, regulations, and insurance company requirements regarding claims processing.
- Stay updated on changes in healthcare laws and insurance policies that may affect the hospital's operations.

Pay: From ₹10,000.00 per month

Work Location: In person