Pre-Auth Executive – Healthcare Claim Process (Hospital Experience)

Job Title: Pre-Authorization Executive – Health Insurance Claims

Department: Insurance Desk

Location: Chennai

Experience: 0.6–2 years

Job Summary:

The Pre-Authorization Executive

Key Responsibilities:

• Verify patient insurance details and eligibility before admission.
• Prepare and submit pre-authorization forms and required medical documents to the respective TPA/insurance company.
• Coordinate with treating doctors to gather diagnosis, treatment plan, and cost estimates.
• Follow up with insurance companies/TPAs for timely approval of pre-authorization requests.
• Update approval status in the hospital management system and inform the billing/admission desk.
• Handle queries related to pre-authorization approvals or denials.
• Maintain accurate records of all submitted and approved claims.
• Coordinate with the billing team for final claim submission post-discharge.
• Ensure compliance with hospital and TPA protocols.

Required Skills:

• Good communication and coordination skills.
• Knowledge of health insurance policies and TPA procedures.
• Basic understanding of hospital billing and claim documentation.
• Proficiency in MS Office and hospital management software.

Qualification:

• Any graduate.

What We Offer:

• Competitive salary with performance-based incentives
• Exposure to fast growing SaaS sales role.
• Mentorship from experienced Senior leaders
• Career growth opportunities based on performance.
• Friendly, collaborative, and growth-focused environment.

How to Apply:

If you are an ambitious MBA/ BE/ BTech/ BBA graduate looking to begin your career in business development

• 📩

  Email your resume and cover letter

  to

  fintech.hr@vifin.in