
Mediclaim Executive
1 week ago
The Mediclaim Executive is responsible for coordinating and processing insurance claims related to patient admissions and treatments. The role involves end-to-end handling of pre-authorization, documentation, claim submission, and follow-up with Third Party Administrators (TPAs) or insurance companies, ensuring timely approvals and payments.
**Key Responsibilities**:
- Coordinate with patients, TPA, and insurance representatives for cashless and reimbursement claims.
- Verify insurance coverage and eligibility during admission.
- Prepare and submit pre-authorization requests and final bills to TPAs.
- Follow up with insurance providers for approvals, queries, and payments.
- Maintain accurate records of all Mediclaim activities and documents.
- Assist patients and their relatives with Mediclaim formalities and queries.
- Ensure timely submission of discharge summaries and final authorization requests.
- Monitor and manage TPA outstanding dues and claim settlements.
- Ensure compliance with insurance regulations and hospital policies.
- Coordinate with billing, admission, and medical teams for seamless claim processing.
Experience
- 1 Year to 4 Years
Salary
- 12K to 25K
Pay: ₹12,000.00 - ₹25,000.00 per month
Work Location: In person
**Speak with the employer**
+91 8120056789
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