21 Aug
|
Epione Sports & Spine Pain Management
|
Banashankari
21 Aug
Epione Sports & Spine Pain Management
Banashankari
A hospital insurance executive manages the end-to-end medical insurance and Third-Party Administrator (TPA) workflows within a healthcare facility. They verify patient coverage, process cashless or reimbursement pre-authorizations, submit final hospital bills, and coordinate claim settlements with insurance providers to ensure financial recovery for the hospital.
Key Responsibilities
- Pre-Authorization & Verification: Check patient insurance eligibility, secure initial cashless approvals, and manage admission documentation.
- Claim Processing & Submission: Compile and submit discharge summaries, medical records, and itemized final bills to TPAs and insurance companies.
- Liaison & Coordination: Act as the primary link between the hospital's billing/clinical departments and external insurance representatives.
- Query & Dispute Resolution: Handle claim denials, deductions, or pending queries and counsel patients regarding balance payments or policy limits.
- Compliance & Reporting: Maintain accurate settlement records, track claim aging reports, and follow hospital and accreditation guidelines (such as NABH)
Pay: ₹20,000.00 - ₹22,000.00 per month
Advantages:
- Provident Fund
Work Location: In person
📌 Insurance Executive (Banashankari)
🏢 Epione Sports & Spine Pain Management
📍 Banashankari