hospital Insurance Executive

Job Title: Insurance Executive

Department: Billing & Insurance
Location: Malar Hospital, Hosur
Reporting To: Billing Manager / Hospital Administrator

Job Summary:

The Insurance Executive is responsible for handling all activities related to insurance claims, pre-authorization, documentation, billing coordination, and liaising with TPAs (Third Party Administrators) to ensure smooth processing of patient insurance cases.

Key Responsibilities:

• Coordinate with patients for insurance-related documents at the time of admission and discharge.
• Process pre-authorization requests by preparing and submitting necessary documents to insurance/TPA companies.
• Ensure timely follow-up and approvals for cashless treatment.
• Verify policy coverage, eligibility, and limits before raising claims.
• Maintain accurate and updated insurance files for all patients under insurance.
• Coordinate with treating doctors and departments for final bill approval.
• Raise final claim forms, discharge summaries, and other required documents.
• Liaise with TPA companies and insurance providers for claim status and settlement.
• Ensure all claim-related queries and discrepancies are addressed promptly.
• Submit insurance reports to the management on a daily/weekly/monthly basis.
• Ensure compliance with all regulatory requirements related to insurance billing.
• Assist patients and families with insurance-related queries and counseling.

Qualifications:

• Graduate in any discipline (B.Com, BBA preferred).
• Diploma or certification in Hospital Administration / Medical Insurance is an advantage.
• Minimum 1–2 years of experience in hospital insurance billing / TPA coordination.

Skills Required:

• Strong knowledge of health insurance processes and TPA policies.
• Good communication and interpersonal skills (Tamil and English preferred).
• Attention to detail and accuracy in documentation.
• Basic knowledge of hospital billing software and MS Office.
• Ability to handle patient queries calmly and professionally.

Regards,

HR Department

hr@malarhospitals.com

8870166133

Malar Hospital,Hosur

Job Types: Full-time, Permanent

Pay: ₹15,000.00 - ₹25,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Work Location: In person