Insurance Coordinator

Insurance Verification & Pre-Authorization

• Verify patient insurance eligibility and coverage details.
• Obtain pre-authorization approvals before surgery or procedures.
• Coordinate with doctors and counselors for required documentation.
• Ensure approval letters are received and properly filed.

2. Patient Counseling

• Explain insurance coverage, exclusions, and patient liability.
• Inform patients about co-payment, deductibles, and non-covered items.
• Guide patients in completing insurance forms accurately.

3. Claim Processing

• Prepare and submit insurance claims accurately and on time.
• Ensure all required documents (ID proof, investigation reports, discharge summary, bills, operative notes, etc.) are attached.
• Maintain proper documentation and records of submitted claims.

4. Follow-Up & Reimbursement

• Follow up with insurance companies/TPAs for claim status.
• Respond to queries or deficiencies raised by insurers.
• Track pending claims and ensure timely settlement.
• Coordinate with accounts department for payment reconciliation.

5. Coordination & Communication

• Act as liaison between hospital, patient, insurance company, and TPA.
• Communicate approval or rejection status to concerned departments.
• Coordinate with front office, billing, and medical records departments.

6. Compliance & Documentation

• Ensure all processes comply with insurance and hospital policies.
• Maintain updated knowledge of various insurance schemes (e.g., private insurance, corporate, government schemes).
• Maintain confidentiality of patient information.

Job Type: Full-time

Pay: ₹18,000.00 - ₹22,000.00 per month

Experience:

• Insurance verification: 2 years (Required)

Work Location: In person