Insurance Executive

Job Summary:

The Insurance Executive is responsible for managing all aspects of patient health insurance processing, including pre-authorizations, claims submission, follow-ups, approvals, and reconciliation. The role ensures that insurance-related procedures are handled efficiently to support timely billing and revenue collection for the hospital.

Responsibilities:

• Coordinate with patients, insurance companies, and internal departments for insurance-related documentation.
• Initiate and manage pre-authorizations and approvals for planned admissions, surgeries, and treatments.
• Submit insurance claims accurately and on time, ensuring all supporting documents are in place.
• Track and follow up on pending claims with insurance companies to ensure timely reimbursements.
• Handle queries and discrepancies related to insurance claims from patients or insurance providers.
• Prepare and maintain MIS reports related to insurance billing, outstanding claims, and approvals.
• Assist the billing team in reconciling insurance payments and outstanding dues.
• Ensure compliance with hospital policies and regulatory requirements regarding patient insurance.

Qualifications & Experience:

• Bachelor’s degree in Commerce, Business Administration, Hospital Management, or related field.
• Minimum 1 year of experience in hospital insurance desk (experience with TPAs is a plus).
• Experience or knowledge of MEDISEP processes.
• Understanding of medical terminology, insurance processes, and hospital billing systems.
• Proficiency in MS Office, especially Excel; experience with hospital billing software (e.g., HIS).
• Strong communication, documentation, and coordination skills.

Job Types: Full-time, Permanent

Pay: From ₹16,000.00 per month

Schedule:

• Day shift

Work Location: In person

Expected Start Date: 21/07/2025