- To interact with hospital insurance patients.
- Create WhatsApp groups to provide/share information.
- Collecting necessary documents from the Patient /Hospital.
- Coordinate with internal medical and Ops team for initial approval.
- Cross-checking the files before sharing with the approval team.
- Educating patients about deduction.
- To create awareness about reimbursement claims. (Pre & Post Hospitalization)
- Collecting claim support documents from the patients/hospitals & coordinating with the back-end team to ensure smooth transfer of data to the TPA/Insurance company.
- Efficiently and effectively handle grievances/issues raised by hospital staff & patients, escalate issues to the team leader, as necessary.
- Follow up and provide Updates to the clients
- Efficiently and effectively handle grievances/issues raised by hospital staff & patients, escalate issues to the team leader,
Regional Manager Claims Assistance, Manager Operations, and Business Head as necessary.
Qualifications & Skills
- Any Diploma, Graduation / Under Graduation
- Should have good listening & analytical skills
- Excellent interpersonal & communication skills
Experience
- Worked in a Hospital or Insurance for 6 months to 02 years. (added advantage)
Additional Skills
- Strong verbal skills
- Strong problem-solving skills and enthusiasm for new tasks and challenges
- Relationship-building skills.
- Ability to multitask and prioritize, with a robust work ethic and attention to detail
- Ability to operate with a high level of confidentiality and professionalism
advantage)