Handle insurance, TPA, Ayushman Bharat, and other empanelment processes in hospital.
Verify patient insurance cards, Ayushman cards, and eligibility details.
Process cashless hospitalization approvals from TPAs and insurance companies.
Coordinate with doctors and billing department for required documents and reports.
Submit pre-authorization and final claim documents on portals/email.
Manage billing and discharge clearance as per scheme guidelines.
Handle ECHS, CGHS, corporate, and government health scheme cases.
Maintain proper records of approvals, claims, settlements, and pending cases.
Guide patients and attendants regarding insurance and scheme procedures.
Follow up with insurance companies and TPAs for claim approval and payment settlement.