Insurance Verification & Pre-Authorization

- Verify patient insurance eligibility and coverage details.
- Obtain pre-authorization approvals before surgery or procedures.
- Coordinate with doctors and counselors for required documentation.
- Ensure approval letters are received and properly filed.

1. Patient Counseling

- Explain insurance coverage, exclusions, and patient liability.
- Inform patients about co-payment, deductibles, and non-covered items.
- Guide patients in completing insurance forms accurately.

1. Claim Processing

- Prepare and submit insurance claims accurately and on time.
- Ensure all required documents (ID proof, investigation reports, discharge summary, bills, operative notes, etc.) are attached.
- Maintain proper documentation and records of submitted claims.

1. Follow-Up & Reimbursement

- Follow up with insurance companies/TPAs for claim status.
- Respond to queries or deficiencies raised by insurers.




- Track pending claims and ensure timely settlement.
- Coordinate with accounts department for payment reconciliation.

1. Coordination & Communication

- Act as liaison between hospital, patient, insurance company, and TPA.
- Communicate approval or rejection status to concerned departments.
- Coordinate with front office, billing, and medical records departments.

1. Compliance & Documentation

- Ensure all processes comply with insurance and hospital policies.
- Maintain updated knowledge of various insurance schemes (e.g., private insurance, corporate, government schemes).
- Maintain confidentiality of patient information.

Job Type: Full time Pay: ₹18,000.00 - ₹22,000.00 per month

Experience

- Insurance verification: 2 years (Required)

Work Location: In person

📌 Insurance Coordinator (Thiruvananthapuram)
🏢 Sreenethra Eye Care
📍 Thiruvananthapuram