Insurance Executive - SRM

1 - 3 years

3 - 5 Lacs

Posted:2 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

  • 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 attitud

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