Insurance Executive

9 hours ago


Chennai Tamil Nadu, India Promed Hospital Full time

**Claim Processing**:Review and process insurance claims accurately, ensuring adherence to policies and regulations.
- **Pre-Authorization**:Handle pre-authorization requests and secure approvals from insurance companies before procedures.
- **Documentation**:Collect, verify, and maintain accurate documentation for insurance claims, including patient information and forms.
- **TPAs and Insurance Companies**:Coordinate with TPAs and insurance companies for claim approvals, denials, and payments.
- **Patient Communication**:Resolve queries from patients or attendants regarding insurance coverage and eligibility.
- **Policy and Procedure Compliance**:Stay updated on insurance policies, procedures, and network hospitals, and ensure adherence to best practices.
- **Reporting and Analysis**:Prepare regular MIS reports on insurance claim status, rejections, and other relevant data.
- **Revenue Optimization**:Identify and implement strategies to improve insurance revenue and reduce denials.
- **Collaboration**:Work collaboratively with billing, finance, and other hospital teams to ensure smooth operations.

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

**Benefits**:

- Provident Fund

Schedule:

- Day shift

Work Location: In person



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