Job Description

Claim Processing:

Review and process insurance claims accurately, ensuring adherence to policies and regulations.

Pre-Authorization:

Handle pre-authorization requests and secure approvals from insurance companies before procedures.

Documentation:

Collect, verify, and maintain accurate documentation for insurance claims, including patient information and forms.

TPAs and Insurance Companies:

Coordinate with TPAs and insurance companies for claim approvals, denials, and payments.

Patient Communication:

Resolve queries from patients or attendants regarding insurance coverage and eligibility.

Policy and Procedure Compliance:

Stay updated on insurance policies, procedures, and network hospitals, and ensure adherence to best practices.

Reporting and Analysis:

Prepare regular MIS reports on insurance claim status, rejections, and other relevant data.

Revenue Optimization:

Identify and implement strategies to improve insurance revenue and reduce denials.

Collaboration:

Work collaboratively with billing, finance, and other hospital teams to ensure smooth operations.
Job Types: Full-time, Permanent

Benefits:

Provident Fund
Schedule:

Day shift
Work Location: In person