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.
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.
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.
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.
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.
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