Hospital Mediclaim/cashless Executive

1 week ago

Vastrapur Ahmedabad Gujarat, India DHS Multispecialty Hospital Full time

Coordinate with insurance companies and Third-Party Administrators (TPAs) to facilitate cashless claims.
- Verify patient eligibility and documentation for cashless claim processing.
- Serve as a liaison between patients, the hospital, and insurance providers/TPAs to ensure smooth claim settlements.
- Explain the cashless process and assist patients with required documentation.
- Obtain pre-authorization and approval from insurance companies for cashless treatment.
- Prepare and submit accurate cashless claim forms and supporting documents, such as discharge summaries and medical records.
- Track claim status and follow up on pending claims, resolving discrepancies promptly.
- Ensure compliance with hospital policies, insurance regulations, and industry guidelines.
- Maintain accurate records of all cashless transactions and communications.
- Handle patient inquiries and provide information regarding insurance coverage and claim procedures.
- Prepare reports on cashless claim status, processing timelines, and financial analysis

**Job Types**: Full-time, Permanent

Pay: ₹15,000.00 - ₹25,000.00 per month

Work Location: In person

Expected Start Date: 01/08/2025

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