Hospital Insurance Executive

Job Description

Job Purpose: Manage insurance claims and settlements of patients in a timely manner, while ensuring a great patient experience. Job Responsibilities: Oversee administration of medical services to insurance and corporate patients or/and customers of the hospital Liaise with insurance companies regarding eligibility, payments, reconciliation and other requirements Review insurance claims to ensure accuracy as per agreement, prior to dispatch to respective insurance companies Proactively report critical issues to management and submit monthly aging and other reports to line manager and Accounts Design, update and implement policies, procedures and protocols to ensure efficiency and accuracy in insurance operations Monitor insurance discounts, rejections and submits periodic reports to the management for review Ensure that the insurance schemes are up to date on the system Attend and organize the insurance presentation internally and externally Prepare final bills according to the insurance tariffs Follow up with insurance companies for clearing the outstanding balances Counsel on surgical estimations to patients according to insurance tariffs Identify short payments and other deductions and intimate billing/ finance managers Maintain TAT for document dispatch post claim submission Job Specifications: Qualification: Degree in Accounting or similar stream Experience: Minimum 2 years of experience in managing similar roles in hospitals Technical Skills: Accounting, Record Management, MS office Management Skills: Be a good team player, maintain good people relations, practice conflict resolution Communication Skills: Good command over English, Kannada. Ability to resolve problems through effective communication Preferred Male Candidate Job Type: Full-time Pay: From ₹18,000.00 per month Benefits: Provident Fund Schedule: Rotational shift Education: Bachelor's (Required) Experience: Hospital Insurance Processing : 1 year (Required) Hospital Insurance Billing: 2 years (Required) Language: English, Hindi, Kannada (Required) Work Location: In person Expected Start Date: 18/06/2025