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SRM Global Hospitals
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Insurance Executive

Insurance Executive

SRM Global Hospitals

3 years

0 Lacs

chennai tamil nadu india

Posted:11 hours ago| Platform:

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Skills Required

authorization processing billing coordination documentation coding communication support reimbursement compliance healthcare management word software networks service

Work Mode

On-site

Job Type

Full Time

Job Description

Job Summary

The Insurance Executive will be responsible for managing all activities related to patient insurance — including pre-authorization, claim processing, billing coordination, and liaison with insurance companies and TPAs. The role ensures accurate documentation, timely follow-up, and smooth coordination between patients, clinical teams, and insurers.

Key Responsibilities

Coordinate with insurance companies and TPAs for pre-authorization approvals.
Verify patient eligibility and insurance coverage prior to admission.
Collect and submit necessary documents for pre-authorization and final claims.
Ensure correct coding (ICD, procedure codes) and documentation for claim processing.
Maintain communication between patients, doctors, and insurance desks for status updates.
Track and follow up on pending claims, rejections, or queries.
Prepare and maintain daily insurance MIS reports.
Assist in billing and discharge processes for insured patients.
Support cashless and reimbursement claim procedures.
Ensure compliance with hospital and insurance policies at all times.

Qualifications & Skills

For Freshers:

Bachelor’s degree in any discipline (preferably in commerce, healthcare management, or related fields).
Good communication and interpersonal skills.
Basic knowledge of MS Office (Word, Excel).
Eagerness to learn hospital insurance processes.

For Experienced Candidates

1–3 years of experience in hospital insurance desk operations or TPA coordination.
Familiarity with pre-authorization, claim submission, and insurance software portals.
Strong follow-up and documentation skills.
Knowledge of TPA networks and corporate insurance policies.

Key Competencies

Attention to detail
Customer service orientation
Team coordination
Time management
Problem-solving attitude

Job Category:

Insurance Executive

Job Type:

Full Time Permanent

Job Location:

In Person

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Insurance Executive