Qureos Mentor

RK Speciality Hospital

<ul><li>Looking for ICU Nurse for 30 bedded hospital located in Chromepet, Chennai.</li><li>Only BSc ( Nursing ) &amp; DGNM Nurses apply</li><li>Minimum 2-3 years of ICU experience</li><li>Specializes in delivering care to patients in intensive care units</li><li>Their duties include evaluating the patient&rsquo;s conditions, administering treatment, and providing constant support during recovery.</li></ul>We also accepting applications for this profile from Staff nurse, Nurse, Hospital Staff Nurse,Nursing Staff, Nurses Job VacanciesContact - 9-7-3-1-6-1-3-3-6-2Job Type: Full-timePay: &#8377;20,000.00 - &#8377;25,000.00 per monthEducation:<ul><li>Diploma (Required)</li></ul>Experience:<ul><li>Nursing: 2 years (Required)</li></ul>Language:<ul><li>Tamil (Required)</li></ul>Location:<ul><li>Chennai, Tamil Nadu (Required)</li></ul>Work Location: In person

Staff Nurse (ICU) - Chromepet Chennai

Job SummaryThe Insurance Officer cum Billing Executive is responsible for handling all inpatient/outpatient insurance operations, coordinating with TPAs/insurance companies, preparing accurate bills, managing approvals, and ensuring smooth discharge and claim processing.&#11835;Key Responsibilities1. Insurance Operations<ul><li>Verify insurance eligibility and coverage for all patients.</li></ul><ul><li>Collect necessary documents from patients for insurance processing.</li></ul><ul><li>Submit pre-authorization (pre-auth) requests and follow up with TPAs/insurance companies.</li></ul><ul><li>Monitor approval status, enhancements, and queries.</li></ul><ul><li>Explain insurance terms, co-payments, and non-payable items to patients/attenders.</li></ul><ul><li>Assist doctors and departments to complete required supporting documents.</li></ul>2. Billing Responsibilities<ul><li>Prepare interim and final bills for inpatient (IP) and outpatient (OP) services.</li></ul><ul><li>Ensure accurate posting of all charges: room, pharmacy, lab, radiology, procedures, doctor visits, consumables, etc.</li></ul><ul><li>Check for missing charges and coordinate with departments before final billing.</li></ul><ul><li>Prepare separate insurance bills and patient-payable bills according to TPA guidelines.</li></ul><ul><li>Coordinate with discharge team to ensure smooth and timely patient discharge.</li></ul>3. Cash Handling (if applicable)<ul><li>Collect co-payments, non-payable items, and any balance amounts from patients.</li></ul><ul><li>Issue receipts and maintain accurate transaction records.</li></ul><ul><li>Hand over daily cash collection to accounts/finance.</li></ul>4. TPA / Insurance Coordination<ul><li>Maintain regular communication with TPAs and insurance officials.</li></ul><ul><li>Submit required documents for final authorization.</li></ul><ul><li>Resolve queries and respond to TPA clarifications promptly.</li></ul><ul><li>Ensure timely submission of insurance claims for reimbursement.</li></ul><ul><li>Track claim status and follow up on pending or rejected claims.</li></ul>5. Documentation &amp; Compliance<ul><li>Maintain complete insurance files&mdash;pre-auth, approvals, bills, claim forms, discharge summaries, invoices.</li></ul><ul><li>Ensure all documentation is as per insurance guidelines.</li></ul><ul><li>Support internal/external audit processes.</li></ul><ul><li>Maintain confidentiality of patient and financial information.</li></ul>Skills &amp; Competencies<ul><li>Strong knowledge of hospital insurance &amp; billing processes</li></ul><ul><li>Familiar with TPA guidelines and claim workflows</li></ul><ul><li>Good communication &amp; negotiation skills</li></ul><ul><li>Ability to handle pressure during discharge hours</li></ul><ul><li>Basic accounting and billing knowledge</li></ul><ul><li>Proficient in HIS/billing software and MS Office</li></ul>Qualification &amp; Experience<ul><li>Education: B.Com, BBA, Diploma in Hospital Administration, or similar</li></ul><ul><li>Experience: 1&ndash;4 years in hospital insurance desk or billing</li></ul><ul><li>Technical: Hands-on experience with hospital billing software</li></ul>Location : No-18, Ramachandra Iyer Street, Nehru Nagar, Chromepet, Chennai, Tamil Nadu, 600044Call or Whatsapp : 9-7-3-1-6-1-3-3-6-2Job Type: PermanentPay: &#8377;20,000.00 - &#8377;25,000.00 per monthBenefits:<ul><li>Paid time off</li><li>Provident Fund</li></ul>Education:<ul><li>Diploma (Required)</li></ul>Work Location: In person

Insurance Officer cum Billing Executive

Join RK Speciality Hospital and explore 2   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.

RK Speciality Hospital

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Staff Nurse (ICU) - Chromepet Chennai

Insurance Officer cum Billing Executive