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 u0026 Spine Pain Management
📍 Banashankari