Insurance Executive For Hospital Tiruppur (India)

• Insurance Executive For Hospital Tiruppur (India)
• Company: SAMIKRIGA HOSPITALS - TIRUPPUR
• Job Location: India
• Employment Type: Full-time
• Experience Required: 1 - 3 years
• Salary: 1,80,000 - 2,40,000 per year
• Full job description
• JOB DESCRIPTION INSURANCE COORDINATOR
• Department: Insurance / Billing
• Industry: Hospital
• Job Purpose

To coordinate health insurance and cashless treatment processes, ensuring timely pre-authorizations, claim submissions, documentation, and settlement in accordance with hospital policies and insurance/TPA requirements.

• Key Responsibilities
• Coordinate with insurance companies and Third-Party Administrators (TPAs) for cashless treatment approvals.
• Verify patient insurance eligibility, policy details, and coverage limits.
• Obtain pre-authorization and enhancement approvals for inpatient treatments.
• Ensure accurate preparation and timely submission of insurance claims.
• Coordinate with doctors, nursing staff, billing, medical records, and patients for required documents.
• Follow up on pending claims, queries, deductions, and rejected claims.
• Maintain insurance records, approval letters, claim status, and settlement details.
• Explain insurance procedures and documentation requirements to patients and their attendants.
• Support discharge coordination and ensure timely submission of final bills.
• Prepare daily and monthly reports on approvals, pending claims, rejections, and settlements.
• Maintain patient confidentiality and comply with hospital policies and applicable regulations.
• Qualifications and Experience
• Graduate in any discipline; healthcare administration or insurance-related qualifications preferred.
• 13 years of experience in hospital insurance, billing, or TPA coordination preferred.
• Knowledge of cashless insurance procedures, claim documentation, and hospital billing processes.
• Knowledge of health insurance policies and TPA procedures.
• Solid communication and coordination skills.
• Accuracy in documentation and data entry.
• Follow-up, problem-solving, and time-management skills.
• Proficiency in MS Office and hospital information systems (HIS).
• Ability to work under pressure and meet deadlines.
• Performance Evaluation

Performance will be assessed based on authorization turnaround time, claim submission accuracy, pending claim follow-up, rejection rates, documentation quality, and patient service.

• Compensation: 15,000.00 - 20,000.00 per month
• Advantages:
• Cell phone reimbursement
• Flexible schedule
• Provident Fund
• Work Location: In person
• Advantages:
• Flexible schedule
• Paid time off
• Provident Fund
• Work Location: In person .