Job Responsibilities

- Handle CGHS and ESI insurance claims and related documentation.

- Verify patient eligibility, insurance details, and required documents.

- Coordinate with CGHS/ESI authorities for approvals, queries, and claim processing.

- Prepare and submit claims accurately within the prescribed timelines.

- Ensure proper documentation of bills, medical records, discharge summaries, and supporting documents.

- Follow up on pending, rejected, and queried claims and take necessary corrective action.

- Coordinate with billing, medical records, doctors, and other departments for claim-related requirements.

- Maintain records of submitted, settled, pending, and rejected claims.

- Ensure compliance with applicable CGHS and ESI guidelines and hospital procedures.

- Assist in resolving patient and insurance-related queries.

Requirements

- Bachelor's degree in any relevant discipline; healthcare/hospital administration preferred.

- Minimum 6 months experience

- Experience in CGHS and ESI insurance/claims processing preferred.

- Good knowledge of hospital billing and insurance documentation.Good communication, coordination, and computer skills

Benefits

- Versatile schedule

Work Location: In person

📌 Insurance Executive (Kochi)
🏢 Lakshmi Hospital Ernakulam
📍 Kochi