Insurance Executive (HOSPITAL SECTOR)

A Hospital Insurance Executive manages patient insurance processes, handling pre-authorizations, claims processing (cashless/reimbursement), liaising with TPAs/insurers, ensuring policy compliance, and guiding patients on coverage/costs, requiring strong communication, accuracy, and knowledge of medical coding/regulations to resolve discrepancies and ensure timely payments. Key Responsibilities:

• Patient & Coverage Management: Verify patient insurance, confirm benefits, and explain out-of-pocket costs.
• Claims Processing: Handle pre-authorization, submission, tracking, follow-up, denials, and appeals for claims.
• Liaison & Communication: Coordinate with patients, doctors, and insurance companies (TPAs).
• Policy & Compliance: Ensure adherence to hospital policies and insurance regulations; stay updated on changes.
• Documentation & Reporting: Maintain accurate records, generate MIS reports, and ensure complete documentation for claims.
• Billing Support: Assist with billing and discharge processes for insured patients.

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹25,000.00 per month

Benefits:

• Provident Fund

Work Location: In person