Insurance Executive

2 days ago


Kolathur Chennai Tamil Nadu, India F.O.R ortho& Neuro hospital Full time

**Key Responsibilities**:

- Handle **insurance patient registration**, admission, and discharge procedures.
- Prepare and submit **pre-authorization forms** to the concerned TPA/insurance company.
- Follow up on **approval and enhancement requests** from insurance companies.
- Coordinate with doctors and billing departments for required **medical records and cost estimates**.
- Ensure proper **documentation** of all insurance claims and maintain records for audit purposes.
- Handle **cashless and reimbursement claims** efficiently and ensure timely submission.
- Communicate with **TPAs, insurance coordinators, and patients** for claim-related queries.
- Verify insurance **policy details, coverage, and validity**.
- Maintain a **tracker/report** of daily insurance admissions, pending approvals, and claim status.
- Follow up for **claim settlements** and update the management regularly.
- Ensure compliance with hospital and insurance company policies and standards.

**Qualifications & Skills**:

- Bachelor’s degree in Commerce,
- Minimum **1-3 years** of experience in hospital insurance billing or TPA coordination.
- Knowledge of **health insurance processes**, claim documentation, and medical terminologies.
- Good communication and coordination skills.
- Computer proficiency (MS Office, HIS software).
- Attention to detail and ability to handle multiple cases efficiently.

Contact number

6383566138

Vinothalakshmi E

**Job Type**: Permanent

**Benefits**:

- Provident Fund

Work Location: In person

**Speak with the employer**
+91 6383566138


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