Insurance Executive

**Ensure all SOP’s are adhered to and we provide “Care like no other”.**
- Ensure efficient and friendly customer interaction.
- Proactively interacts & builds rapport with customers to ensure transparency with charges and a comfortable smooth discharge process.
- Ensure Billing team adheres to SoP’s and TAT’s.
- Adheres to Maker - Checker process for billing entries.
- Assist Billing executives when required; addresses and resolves customer complaints personally when team member requires assistance.
- Fast track discharges by coordinating with all concerned for room availability.
- Billing errors to be less than 95%; in case of error 100% reporting and correction of error; 100% accuracy in collection and handover of amount and reporting.
- TAT for IP bill preparation - 30 - 45 Minutes, coordination of all bills & pre-auth process with TPA without exception.
- Ensure Pre-auth approval for upcoming cases ( before patient admission)
- Responsible for IP revenue: Contributes to achievement of revenue target & to cost saving for the department.
- Follows up for Insurance settlement: handles billing recovery & periodically updates long stay intermediate provisional bill to TPA.
- Maintains individual TPA status regarding Bills Submitted, Payment Status & Outstandings.
- Daily reporting : Daily Collection Report, Daily Billing report, Discount Report & prepares Covering report for insurance claim, scan and submission.
- Query handling from TPA after submission; responsible for full settlement.
- Participates actively in finance audit annually.

Ä Consultant Relationship:

- Has a good relationship with consultants and works well with them.

Ä Responsible for Outstanding Service Experience Delivery:

- Ensures self and team is well-groomed as per standard; maintain discipline and decorum.
- Responsible for implementation of the Service Vision - ensures team delivers care like no other.
- Coordinates with related departments to ensure billing activities are conducted smoothly and discharges are on time.

Ä Team Management:

- Inspires & leads the team effectively; assigns tasks clearly & supports team to perform effortlessly.
- Conducts daily briefings, addresses process issues and ensures complaints are resolved.
- Creates and maintains cordial relationship within the unit and with other departments.
- Ensure Induction and training of team as per protocol.
- Prepares effective training modules, coaches on the job to enhance team skills.
- Develops competent 2nd line.
- Ensures retention of team.

**Major Job Qualifications / Specific Skills**

Graduate; PG preferred

4 - 6 years in the service industry; preferable 4 years in Billing
- Strong functional knowledge.
- Competence in:

- account processes and costing; numeric skills; computer skills, understands software and capable of tracking for entries and updation accuracy.
- Good Interpersonal Skills: patient and helpful, empathic, connects well with all stakeholders
- Understands customers and enjoys assisting them
- Communicates effectively, fluency in English & Regional language
- Ability to influence and highly motivated to fulfil the Service expectations
- Eye for detail, accurate and thorough in follow up and completion of tasks
- Demonstrates leadership ; team player; dependable
- Works well under pressure, maintains calm; seeks to resolve situations gracefully
- Logical thinker, makes decisions smartly and quickly.

**Key Result Areas**

Revenue contribution; Cost Management; minimize loss/leakage of revenue; resource allocation and utilization

Process adherence; audit compliance; documentation accuracy
- less than 5% billing error ; 100% reporting & correction of errors; 100% collection and submission
- Discharge TAT
- Insurance document submission TAT ; monitoring disallowance to ensure minimum

Ensure department feedback scores are above the target.

Retention; 2nd line development; Induction & training.

**Job Type**: Permanent

Pay: From ₹16,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Fixed shift

Ability to commute/relocate:

- Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work: 1 year (preferred)