Qureos Mentor

Anbu Hospital

Department: InsuranceJob Summary:The Insurance Coordinator is responsible for managing all aspects of patient insurance processes, including verification, preauthorization, documentation, claims submission, and follow-up. The role ensures smooth coordination between patients, insurance companies, and hospital departments to facilitate timely and accurate claim settlements.Key Responsibilities:<ul><li>Insurance Verification &amp; Preauthorization:</li><li>Verify patients insurance coverage, eligibility, and policy details before admission or treatment.</li><li>Obtain preauthorization from insurance providers for procedures, surgeries, and inpatient admissions.</li><li>Documentation &amp; Coordination:</li><li>Ensure all required patient and clinical documents are complete and accurately submitted to the insurer.</li><li>Liaise with consultants, doctors, and billing departments for clarification and supporting documents.</li><li>Claims Management:</li><li>Prepare and submit insurance claims within the specified timelines.</li><li>Track claim status and follow up with insurance companies to resolve pending or denied claims.</li><li>Patient Communication:</li><li>Explain insurance processes, coverage limits, and exclusions to patients and their families.</li><li>Assist patients with queries regarding insurance approvals and claim settlements.</li><li>Compliance &amp; Reporting:</li><li>Maintain accurate records of insurance correspondence and claim logs.</li><li>Ensure compliance with hospital policies, TPA (Third-Party Administrator), and regulatory requirements.</li><li>Generate daily, weekly, and monthly insurance reports for management review.</li></ul>Qualifications &amp; Skills:<ul><li>Bachelors degree in Hospital Administration, Commerce, or related field.</li><li>1 to 3 years of experience in hospital insurance or billing department preferred.</li><li>Good knowledge of health insurance procedures, TPAs, and claim documentation.</li><li>Strong communication and coordination skills.</li></ul>Job Type: Full-timePay: &#8377;8,848.49 - &#8377;350,000.00 per monthBenefits:<ul><li>Flexible schedule</li><li>Leave encashment</li><li>Paid time off</li></ul>Work Location: In person

Hospital Insurance Executive

Join Anbu Hospital and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Anbu Hospital

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Hospital Insurance Executive