Job Description

- Insurance Executive

Position Title:

Insurance Executive

Department:

Billing & Insurance

Location:

Malar Hospital, Hosur

Reports To:

Billing Manager

Job Purpose:

To manage and coordinate all insurance-related processes, including pre-authorizations, claims submission, patient queries, and follow-ups with TPAs (Third Party Administrators), ensuring smooth and timely reimbursement of hospital bills.

Key Responsibilities:

Coordinate with patients, relatives, and TPAs for insurance documentation. Handle pre-authorization requests and get approval from insurance companies before procedures. Collect and verify insurance forms, ID cards, and related documentation from patients. Ensure proper documentation and uploading of patient case files for claim processing. Follow up with TPAs for claim approvals, denials, and payments. Maintain updated knowledge of insurance policies, procedures, and network hospitals. Resolve queries from patients or attendants regarding insurance coverage and eligibility. Maintain accurate and updated logs of claims submitted and received. Coordinate with the billing and finance team for reconciliation of insurance dues. Prepare regular MIS reports related to insurance claim status and rejections.

Qualifications & Requirements:

Bachelor's degree in Commerce, Business Administration, or relevant field 1-3 years of experience in hospital insurance processing or TPA coordination Familiarity with hospital billing software and insurance portals Good understanding of IRDAI norms and medical terminologies

Skills & Attributes:

Strong communication and interpersonal skills Detail-oriented with good documentation practices Ability to handle patient pressure and coordinate with multiple teams Fluent in Tamil and English (spoken and written) Proficient in MS Excel and hospital systems

Working Hours

Rotational shifts / Based on hospital schedule

How to Apply

Send your resume to

hr@malarhospitals.com

contact

8870166133

for more details.

HR Manager

Hosur,

Job Types: Full-time, Permanent, Fresher

Pay: ₹12,000.00 - ₹20,000.00 per month

Benefits:

Health insurance Provident Fund
Schedule:

Day shift Weekend availability
Work Location: In person

Speak with the employer

+91 8870166133