Job Description

All the procedure will be look after from the time of admission to discharge

Help the policy holders, in getting cashless approval from TPA's / Corporate

Emergency/ Planned / On admission - the relevant information to be collected from patient/patient attendant

To fill the Pre-auth request forms. Correspondence with the TPA regarding pre-auth and authorization of the particular patient,

Coordinating /giving Information TPA/Co's (online / offline) and relevant document, Coordination with doctors regarding query.

Receiving the AL (Approval letter) from TPA information given to respective authorized person regarding approval amount and remarks.

Coordinating with billing department regarding approval letter and handover to concerned dept. (billing section) and receiving relevant document (signature) in the insurance record book.

Co-ordinate with respective dept. (billing, nursing, etc.) and send enhancement to TPA's Follow-up for further authorization amount.

Follow-up with concern TPA's and find out they received our relevant document.

To ensure to give updated to Patient/ Patients Attender about the Final Update (Approval / Denial )received from the insurance during the time of discharge and make sure to Collect the Balance amount from them.

Job Type: Full-time

Pay: ₹350,000.00 - ₹500,000.00 per year

Experience:

Insurance Coordinator: 1 year (Required)
Work Location: In person