Job Description

The Mediclaim Executive is responsible for coordinating and processing insurance claims related to patient admissions and treatments. The role involves end-to-end handling of pre-authorization, documentation, claim submission, and follow-up with Third Party Administrators (TPAs) or insurance companies, ensuring timely approvals and payments.

Key Responsibilities:

Coordinate with patients, TPA, and insurance representatives for cashless and reimbursement claims. Verify insurance coverage and eligibility during admission. Prepare and submit pre-authorization requests and final bills to TPAs. Follow up with insurance providers for approvals, queries, and payments. Maintain accurate records of all Mediclaim activities and documents. Assist patients and their relatives with Mediclaim formalities and queries. Ensure timely submission of discharge summaries and final authorization requests. Monitor and manage TPA outstanding dues and claim settlements. Ensure compliance with insurance regulations and hospital policies. Coordinate with billing, admission, and medical teams for seamless claim processing.
Experience- 1 Year to 4 Years

Salary- 12K to 25K

Job Type: Full-time

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

Work Location: In person

Speak with the employer

+91 8120056789