Job Description

Job Summary:

The Insurance Executive will be responsible for managing all activities related to patient insurance -- including pre-authorization, claim processing, billing coordination, and liaison with insurance companies and TPAs. The role ensures accurate documentation, timely follow-up, and smooth coordination between patients, clinical teams, and insurers.

Key Responsibilities:

Coordinate with insurance companies and TPAs for pre-authorization approvals. Verify patient eligibility and insurance coverage prior to admission. Collect and submit necessary documents for pre-authorization and final claims. Ensure correct coding (ICD, procedure codes) and documentation for claim processing. Maintain communication between patients, doctors, and insurance desks for status updates. Track and follow up on pending claims, rejections, or queries. Prepare and maintain daily insurance MIS reports. Assist in billing and discharge processes for insured patients. Support cashless and reimbursement claim procedures. Ensure compliance with hospital and insurance policies at all times.

Qualifications & Skills:

For Freshers:

Bachelor's degree in any discipline (preferably in commerce, healthcare management, or related fields). Good communication and interpersonal skills. Basic knowledge of MS Office (Word, Excel). Eagerness to learn hospital insurance processes.

For Experienced Candidates:

1-3 years of experience in hospital insurance desk operations or TPA coordination. Familiarity with pre-authorization, claim submission, and insurance software portals. Strong follow-up and documentation skills. Knowledge of TPA networks and corporate insurance policies.

Key Competencies:

Attention to detail Customer service orientation Team coordination Time management Problem-solving attitude

Employment Type:

Full-time

Salary:

As per industry standards and experience

Job Type: Full-time

Pay: ?10,000.00 - ?20,000.00 per month

Work Location: In person