, admission, and discharge procedures.
Prepare and submit
pre-authorization forms
to the concerned TPA/insurance company.
Follow up on
approval and enhancement requests
from insurance companies.
Coordinate with doctors and billing departments for required
medical records and cost estimates
.
Ensure proper
documentation
of all insurance claims and maintain records for audit purposes.
Handle
cashless and reimbursement claims
efficiently and ensure timely submission.
Communicate with
TPAs, insurance coordinators, and patients
for claim-related queries.
Verify insurance
policy details, coverage, and validity
.
Maintain a
tracker/report
of daily insurance admissions, pending approvals, and claim status.
Follow up for
claim settlements
and update the management regularly.
Ensure compliance with hospital and insurance company policies and standards.
Qualifications & Skills:
Bachelor's degree in Commerce,
Minimum
1-3 years
of experience in hospital insurance billing or TPA coordination.
Knowledge of
health insurance processes
, claim documentation, and medical terminologies.
Good communication and coordination skills.
Computer proficiency (MS Office, HIS software).
Attention to detail and ability to handle multiple cases efficiently.
Contact number
6383566138
Vinothalakshmi E
Job Type: Permanent
Benefits:
Provident Fund
Work Location: In person
Speak with the employer
+91 6383566138
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