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.