Insurance Executive
13 hours ago
Job Title: Executive - Insurance
Location: Gurugram
Working Days: 6
Experience Required: 1-5 Years
Work Model: In-Office
What we are looking for:
Seeking a Executive - Insurance (1-5 years experience) to handle cashless & reimbursement
claims, TPA coordination, pre-auth approvals, and insurance queries. The role involves billing
verification, doctor liaison, and ensuring SOP compliance. Requires strong relationship management and knowledge of health insurance policies.
6-day workweek
Eligibility:
● Education: Bachelor's degree in any field.
● In-depth knowledge of health insurance policies, claims, and reimbursement processes.
● Ability to handle insurance-related queries and approvals tactfully.
● Excellent communication and relationship-building skills.
● Ability to work efficiently under pressure and meet processing deadlines.
Job Responsibilities:
●
Claims & Pre-Auth:
Manage cashless and reimbursement claims from initiation to
settlement.
●
TPA Coordination:
Follow up on payments, resolve claim issues with TPAs and insurers.
●
Billing & Discharge Verification:
Ensure accuracy in discharge summaries and TPA billing.
●
Approvals & Relationship Management:
Build strong ties with insurers to expedite
approvals.
●
Pre-Auth & Compliance:
Accurately handle pre-auth forms and adhere to policy guidelines.
●
SOP & Turnaround Time:
Maintain SOP compliance and manage case processing efficiently.
About Hexa Health:
At HEXA, we are building a platform that will help users choose the right hospital/surgeon for their
surgical procedure. We would like to be synonymous with surgery information and discovery. We are working towards building India's largest hospital network, and we will ensure a hassle-free
experience for the patient at the hospital.
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