The Insurance Staff will oversee of all insurance-related activities within the hospital, ensuring smooth communication between insurance companies, patients, and hospital departments. The role is crucial in managing claims, negotiating policies, ensuring compliance, and ensuring the financial protection of both the hospital and its patients. This position requires a strong understanding of health insurance, medical billing, and hospital operations.
Key Responsibilities:
Insurance Policy Management:
Oversee all insurance-related matters, including health insurance claims, policies, and reimbursements.
Work with insurance companies to verify patient eligibility and ensure insurance coverage aligns with hospital services.
Monitor insurance policies to ensure compliance with hospital standards, regulations, and healthcare laws.
Claims Management:
Supervise the submission, tracking, and resolution of insurance claims.
Handle complex claims, appeals, and dispute resolutions with insurance providers.
Ensure accurate and timely processing of claims to minimize delays in reimbursement.
Collaboration and Communication:
Act as a liaison between insurance companies, patients, and hospital departments to ensure the proper flow of insurance-related information.
Collaborate with medical billing, finance, and legal teams to resolve payment issues and disputes.
Educate staff on insurance policies, procedures, and regulations.
Patient Support:
Assist patients with insurance-related inquiries, helping them understand their coverage and benefits.
Provide support during claim disputes or rejections, offering solutions to resolve issues promptly.
Job Type: Full-time
Pay: From ?15,000.00 per month
Benefits:
Health insurance
Provident Fund
Work Location: In person
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