Insurance Executive (hospital Sector)
Year TN, IN, India
Job Description
A Hospital Insurance Executive manages patient insurance processes, handling pre-authorizations, claims processing (cashless/reimbursement), liaising with TPAs/insurers, ensuring policy compliance, and guiding patients on coverage/costs, requiring strong communication, accuracy, and knowledge of medical coding/regulations to resolve discrepancies and ensure timely payments. Key Responsibilities:
Patient & Coverage Management
: Verify patient insurance, confirm benefits, and explain out-of-pocket costs.Claims Processing
: Handle pre-authorization, submission, tracking, follow-up, denials, and appeals for claims.Liaison & Communication
: Coordinate with patients, doctors, and insurance companies (TPAs).Policy & Compliance
: Ensure adherence to hospital policies and insurance regulations; stay updated on changes.Documentation & Reporting
: Maintain accurate records, generate MIS reports, and ensure complete documentation for claims.Billing Support
: Assist with billing and discharge processes for insured patients.Job Types: Full-time, Permanent
Pay: ₹20,000.00 - ₹25,000.00 per month
Benefits:
Provident Fund
Work Location: In person
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Job Detail
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Job IdJD4980287
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationTN, IN, India
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EducationNot mentioned
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ExperienceYear