Hospital Mediclaim/Cashless Executive

0 years

1 - 3 Lacs

Posted:3 weeks ago| Platform: GlassDoor logo

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Work Mode

On-site

Job Type

Full Time

Job Description

  • Coordinate with insurance companies and Third-Party Administrators (TPAs) to facilitate cashless claims.
  • Verify patient eligibility and documentation for cashless claim processing.
  • Serve as a liaison between patients, the hospital, and insurance providers/TPAs to ensure smooth claim settlements.
  • Explain the cashless process and assist patients with required documentation.
  • Obtain pre-authorization and approval from insurance companies for cashless treatment.
  • Prepare and submit accurate cashless claim forms and supporting documents, such as discharge summaries and medical records.
  • Track claim status and follow up on pending claims, resolving discrepancies promptly.
  • Ensure compliance with hospital policies, insurance regulations, and industry guidelines.
  • Maintain accurate records of all cashless transactions and communications.
  • Handle patient inquiries and provide information regarding insurance coverage and claim procedures.
  • Prepare reports on cashless claim status, processing timelines, and financial analysis

Job Types: Full-time, Permanent

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

Work Location: In person

Expected Start Date: 01/08/2025

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