09 Sep
|
Lemonn Health Care
|
Velachery
09 Sep
Lemonn Health Care
Velachery
- Handle insurance/TPA patients from admission to discharge.
- Verify insurance policy details, eligibility, coverage, and required documents.
- Obtain and process pre-authorisation approvals from insurance companies/TPAs.
- Coordinate with Doctors, Nursing, Billing, MRD, Pharmacy, and other departments for required documents.
- Submit medical records, investigation reports, estimates, and other documents required for approval.
- Follow up on pending approvals, queries, enhancements, and re-authorisations.
- Coordinate with the treating team for timely submission of clinical information and medical justifications.
- Ensure timely submission of final bills and discharge summaries to the TPA/insurance company.
- Coordinate with the Billing Department regarding approved amount, deductions, non-payable items, and package rates.
- Follow up on rejected, disputed, and pending claims.
- Maintain proper records of pre-authorisations, claims, deductions, settlements, and outstanding amounts.
- Communicate clearly with patients and attendants regarding insurance procedures, approvals, and requirements.
- Ensure all insurance-related documentation is complete, accurate, and submitted within the required timeline.
- Maintain confidentiality of patient and insurance information.
- Prepare daily/monthly reports on insurance cases, pending approvals, claims, and outstanding payments.
- Escalate delayed approvals, claim issues, and major deductions to the Insurance Manager/Management.
Pay: ₹18,000.00 - ₹30,000.00 per month
Advantages:
- Provident Fund
Work Location: In person
📌 Insurance Executive (Velachery)
🏢 Lemonn Health Care
📍 Velachery