Job Description

Job Title: Insurance Executive

Department:

Billing & Insurance

Location:

Malar Hospital, Hosur

Reporting To:

Billing Manager / Hospital Administrator

Job Summary:

The Insurance Executive is responsible for handling all activities related to insurance claims, pre-authorization, documentation, billing coordination, and liaising with TPAs (Third Party Administrators) to ensure smooth processing of patient insurance cases.

Key Responsibilities:

Coordinate with patients for insurance-related documents at the time of admission and discharge. Process pre-authorization requests by preparing and submitting necessary documents to insurance/TPA companies. Ensure timely follow-up and approvals for cashless treatment. Verify policy coverage, eligibility, and limits before raising claims. Maintain accurate and updated insurance files for all patients under insurance. Coordinate with treating doctors and departments for final bill approval. Raise final claim forms, discharge summaries, and other required documents. Liaise with TPA companies and insurance providers for claim status and settlement. Ensure all claim-related queries and discrepancies are addressed promptly. Submit insurance reports to the management on a daily/weekly/monthly basis. Ensure compliance with all regulatory requirements related to insurance billing. Assist patients and families with insurance-related queries and counseling.

Qualifications:

Graduate in any discipline (B.Com, BBA preferred). Diploma or certification in Hospital Administration / Medical Insurance is an advantage. Minimum 1-2 years of experience in hospital insurance billing / TPA coordination.

Skills Required:

Strong knowledge of health insurance processes and TPA policies. Good communication and interpersonal skills (Tamil and English preferred). Attention to detail and accuracy in documentation. Basic knowledge of hospital billing software and MS Office. Ability to handle patient queries calmly and professionally.

Regards,

HR Department

hr@malarhospitals.com

8870166133

Malar Hospital,Hosur

Job Types: Full-time, Permanent

Pay: ?12,000.00 - ?25,000.00 per month

Benefits:

Health insurance Provident Fund
Schedule:

Day shift Morning shift Night shift Rotational shift
Work Location: In person