Insurance Executive

4 days ago

Okkiyam Thuraipakkam Chennai Tamil Nadu, India Chennai Urology and Robotics Institute Hospital Full time

Job Summary:

The Insurance Executive will be responsible for managing all activities related to patient insurance — including pre-authorization, claim processing, billing coordination, and liaison with insurance companies and TPAs. The role ensures accurate documentation, timely follow-up, and smooth coordination between patients, clinical teams, and insurers.

Key Responsibilities:

  • Coordinate with insurance companies and TPAs for pre-authorization approvals.
  • Verify patient eligibility and insurance coverage prior to admission.
  • Collect and submit necessary documents for pre-authorization and final claims.
  • Ensure correct coding (ICD, procedure codes) and documentation for claim processing.
  • Maintain communication between patients, doctors, and insurance desks for status updates.
  • Track and follow up on pending claims, rejections, or queries.
  • Prepare and maintain daily insurance MIS reports.
  • Assist in billing and discharge processes for insured patients.
  • Support cashless and reimbursement claim procedures.
  • Ensure compliance with hospital and insurance policies at all times.

Qualifications & Skills:

For Freshers:

  • Bachelor's degree in any discipline (preferably in commerce, healthcare management, or related fields).
  • Good communication and interpersonal skills.
  • Basic knowledge of MS Office (Word, Excel).
  • Eagerness to learn hospital insurance processes.

For Experienced Candidates:

  • 1–3 years of experience in hospital insurance desk operations or TPA coordination.
  • Familiarity with pre-authorization, claim submission, and insurance software portals.
  • Strong follow-up and documentation skills.
  • Knowledge of TPA networks and corporate insurance policies.

Key Competencies:

  • Attention to detail
  • Customer service orientation
  • Team coordination
  • Time management
  • Problem-solving attitude

Employment Type: Full-time Salary: As per industry standards and experience

Job Type: Full-time

Pay: ₹10, ₹20,000.00 per month

Work Location: In person

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