Insurance Executive

Role Overview: You will be responsible for conducting insurance pre-authorization for procedures and treatments, ensuring necessary approvals are obtained before services are rendered. Additionally, you will verify and confirm coverage post-service, ensuring compliance with insurance requirements. Your role will involve managing the insurance verification process for patients, collaborating with medical staff to obtain necessary documentation for claims, and submitting and following up on insurance claims to ensure timely processing and resolution of issues. You will work closely with patients to explain their insurance benefits and any out-of-pocket costs, while maintaining accurate records of insurance claims and patient interactions. Staying updated on changes in insurance regulations and hospital policies will also be part of your responsibilities, along with addressing and resolving discrepancies or issues related to insurance claims, including denials and appeals. Key Responsibilities: - Conduct insurance pre-authorization for procedures and treatments - Verify and confirm coverage post-service - Manage the insurance verification process for patients - Collaborate with medical staff to obtain necessary documentation for claims - Submit and follow up on insurance claims - Work closely with patients to explain insurance benefits and out-of-pocket costs - Maintain accurate records of insurance claims and patient interactions - Stay updated on changes in insurance regulations and hospital policies - Address and resolve discrepancies or issues related to insurance claims Qualifications Required: - Graduation / Post Graduation in Business Administration, Healthcare Management, or a related field preferred - 1 to 10 years of experience in hospital insurance processes - Strong knowledge of medical terminology and insurance billing procedures - Excellent communication and interpersonal skills - Proficient in relevant software and tools for billing and claims management - Ability to work independently and as part of a team Location: Dharmapuri, Tamil Nadu Additional Details: The company offers a monthly salary ranging from 12,000 to 15,000. Benefits include Provident Fund / ESI, free accommodation for outstation candidates, and free transportation. You can forward your updated resume to hr@vijaysuperspecialityhospital.in and contact (+91 91507 51668) for further information. Job Types: - Full-time - Permanent - Fresher,