Job Description

Name of the Position : Insurance Executive

Educational Requirements:

MBA/MHA/MSW

Experience:

Prior experience in insurance handling

Preferably Female Candidates

Key Responsibilities:

Insurance Verification:

Verify patients' insurance coverage and benefits before treatment or hospitalization. Ensure accurate eligibility and pre-authorization requirements for procedures.

Claims Management:

Prepare, review, and submit insurance claims accurately and in a timely manner. Follow up on submitted claims to ensure they are processed and paid promptly.

Coordination with Insurance Providers:

Liaise with insurance companies to resolve claim denials, disputes, or discrepancies. Maintain up-to-date knowledge of insurance policies, procedures, and coding standards.

Patient Interaction:

Explain insurance coverage and out-of-pocket costs to patients. Address patient queries related to insurance claims and billing.

Documentation and Reporting:

Maintain records of insurance claims, approvals, and rejections. Generate periodic reports on claim statuses and reimbursement trends for hospital management.

Compliance and Regulations:

Ensure adherence to healthcare laws, insurance regulations, and hospital policies. Stay updated with changes in insurance policies, medical coding, and government regulations.

Billing Support:

Assist the billing department in preparing patient bills based on insurance coverage. Handle coordination for co-payments, deductibles, and other patient responsibilities.

Problem-Solving:

Address and resolve issues such as claim rejections, underpayments, or coding errors. Coordinate appeals for denied claims.
Job Type: Full-time

Pay: ?20,000.00 - ?25,000.00 per month

Work Location: In person