Insurance Executive

3 days ago

Angamali, India MAGJ Hospital Mookkannoor Full time

**Name of the Position : Insurance Executive**

**Educational Requirements**: Bachelor’s degree in healthcare management, business administration, or a related field.

**Experience**: Prior experience in insurance handling

**Key Responsibilities**:

- **Insurance Verification**:

- Verify patients’ insurance coverage and benefits before treatment or hospitalization.
- Ensure accurate eligibility and pre-authorization requirements for procedures.
- **Claims Management**:

- Prepare, review, and submit insurance claims accurately and in a timely manner.
- Follow up on submitted claims to ensure they are processed and paid promptly.
- **Coordination with Insurance Providers**:

- Liaise with insurance companies to resolve claim denials, disputes, or discrepancies.
- Maintain up-to-date knowledge of insurance policies, procedures, and coding standards.
- **Patient Interaction**:

- Explain insurance coverage and out-of-pocket costs to patients.
- Address patient queries related to insurance claims and billing.
- **Documentation and Reporting**:

- Maintain records of insurance claims, approvals, and rejections.
- Generate periodic reports on claim statuses and reimbursement trends for hospital management.
- **Compliance and Regulations**:

- Ensure adherence to healthcare laws, insurance regulations, and hospital policies.
- Stay updated with changes in insurance policies, medical coding, and government regulations.
- **Billing Support**:

- Assist the billing department in preparing patient bills based on insurance coverage.
- Handle coordination for co-payments, deductibles, and other patient responsibilities.
- **Problem-Solving**:

- Address and resolve issues such as claim rejections, underpayments, or coding errors.
- Coordinate appeals for denied claims.

Pay: ₹20,000.00 - ₹25,000.00 per month

Schedule:

- Day shift

Work Location: In person

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