Location: Aravind Eye Hospital, R.S. Puram, Coimbatore
Department: Insurance / Patient Services
Employment Type: Full time
Job Summary
The Insurance Coordinator is responsible for facilitating cashless and reimbursement insurance processes for patients. The role involves coordinating with insurance companies, TPAs (Third-Party Administrators), doctors, and patients to ensure timely pre-authorizations, claim processing, and accurate documentation while delivering excellent patient service.
Key Responsibilities
- Verify patient insurance eligibility and policy coverage.
- Guide patients regarding insurance procedures, required documents, and claim eligibility.
- Collect and verify insurance documents before admission or surgery.
- Submit pre-authorization requests to insurance companies and TPAs.
- Coordinate with doctors and nursing staff to obtain required medical records.
- Monitor insurance approval status and communicate updates to patients.
- Prepare and submit claim documents accurately and within timelines.
- Coordinate with insurance companies for claim settlement and follow-up.
- Handle reimbursement and cashless insurance cases.
- Resolve insurance-related queries from patients and insurance providers.
- Maintain accurate insurance records and reports.
- Ensure compliance with hospital policies and insurance guidelines.
- Work closely with billing, admission, and accounts departments to ensure smooth discharge and payment processes.
- Maintain confidentiality of patient information.
Required Qualifications
- Bachelor's degree in Commerce, Business Administration, Healthcare Management, or a related field.
- Additional certification in health insurance or hospital administration is an advantage.
Experience
- 1–3 years of experience in hospital insurance coordination, medical billing, or TPA operations.
- Experience with cashless claims and reimbursement processes is preferred.