Hospital Insurance Executive

2 days ago

Velachery Chennai Tamil Nadu, India Anbu Hospital Full time ₹ 42,00,000 per year

Department: Insurance

Job Summary:

The Insurance Coordinator is responsible for managing all aspects of patient insurance processes, including verification, preauthorization, documentation, claims submission, and follow-up. The role ensures smooth coordination between patients, insurance companies, and hospital departments to facilitate timely and accurate claim settlements.

Key Responsibilities:

  • Insurance Verification & Preauthorization:
  • Verify patients insurance coverage, eligibility, and policy details before admission or treatment.
  • Obtain preauthorization from insurance providers for procedures, surgeries, and inpatient admissions.
  • Documentation & Coordination:
  • Ensure all required patient and clinical documents are complete and accurately submitted to the insurer.
  • Liaise with consultants, doctors, and billing departments for clarification and supporting documents.
  • Claims Management:
  • Prepare and submit insurance claims within the specified timelines.
  • Track claim status and follow up with insurance companies to resolve pending or denied claims.
  • Patient Communication:
  • Explain insurance processes, coverage limits, and exclusions to patients and their families.
  • Assist patients with queries regarding insurance approvals and claim settlements.
  • Compliance & Reporting:
  • Maintain accurate records of insurance correspondence and claim logs.
  • Ensure compliance with hospital policies, TPA (Third-Party Administrator), and regulatory requirements.
  • Generate daily, weekly, and monthly insurance reports for management review.

Qualifications & Skills:

  • Bachelors degree in Hospital Administration, Commerce, or related field.
  • 1 to 3 years of experience in hospital insurance or billing department preferred.
  • Good knowledge of health insurance procedures, TPAs, and claim documentation.
  • Strong communication and coordination skills.

Job Type: Full-time

Pay: ₹8, ₹350,000.00 per month

Benefits:

  • Flexible schedule
  • Leave encashment
  • Paid time off

Work Location: In person

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