Insurance Coordinator

Job Description: As an Insurance and Billing Coordinator, you will play a crucial role in managing insurance coordination, accounting, and reporting responsibilities for the company. Your key responsibilities will include: - Insurance Coordination: - Verify patient insurance coverage, eligibility, and pre-authorization requirements. - Communicate with insurance companies to confirm coverage details, limits, and exclusions. - Provide support in completing reimbursement claims. - Address claim rejections or discrepancies by liaising with insurance providers. - Maintain proper documentation for all insurance claims. - Empanelment and Network Coordination: - Manage empanelment with insurance providers and TPAs. - Maintain up-to-date contracts and agreements with various insurance partners. - Accounting & Reporting Responsibilities: - Ensure accurate billing of insurance claims, including preparing itemized bills and coding procedures correctly. - Prepare and update patient billing records for outstanding amounts post-insurance coverage. - Audit and Compliance: - Collaborate with the finance team for monthly and annual closing processes. - Coordinate with auditors, if necessary, during reviews of insurance-related financial transactions. Key Qualifications: - Strong knowledge of insurance policies (TPA, private insurance) and accounting principles. - Attention to detail and high accuracy in financial record-keeping. - Excellent communication and negotiation skills. - Ability to work with numbers and handle large volumes of financial data efficiently. - Proficiency in Microsoft Excel, financial software, and hospital management systems.,