Person who oversees the implementation, documentation, and claim processing of government health insurance schemes within a hospital or healthcare facility. This role ensures eligible patients receive cashless treatment seamlessly.
Visit Insurance Broker, TPA & Insurance Company to get the entrance into big clientele.
Increase brand awareness of hospital and grow business by tying up with HCFs, government agencies, and insurance companies etc.
Manage client relationship - Weekly visiting clients to solve queries & to maintain good relations with existing client
Maintain various MIS reports and data documentation
Focus on key customers training, promotions
Validates the information on all medical claims from patients seeking payment from their insurance company. Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.
Establishes proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable claims.
Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.
Protects operations by keeping claims information confidential
Maintains quality customer services by following customer service practices; responding to customer inquiries
Determines covered medical insurance losses by studying provisions of policy or certificate.
Provides legal support by assembling documentation for settlement action
Prepares reports by collecting, analyzing, and summarizing information.
Job Type: Full-time
Pay: ₹30,000.00 - ₹40,000.00 per month
Work Location: In person
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