- Verify patients’ insurance eligibility, coverage, policy details, and perks at the time of admission.

- Obtain and process pre-authorisation requests for planned and emergency admissions/procedures.

- Coordinate with insurance companies and TPAs regarding approvals, queries, and additional requirements.

- Collect and verify all necessary documents required for insurance claims.

- Prepare and submit accurate claim documents within the prescribed timelines.

- Coordinate with doctors, nursing staff, billing, medical records, and other departments for required clinical and billing documentation.

- Follow up on pending pre-authorisations, claim approvals, queries, and settlements.

- Review discharge summaries, investigation reports, prescriptions, bills, and other documents for completeness before claim submission.

- Communicate with patients and their attendants regarding insurance procedures, approvals, exclusions, deductibles, and non-payable amounts.





- Handle insurance queries and resolve discrepancies in coordination with the concerned departments.

- Maintain proper records of submitted claims, approvals, rejections, deductions, and settlements.

- Monitor outstanding insurance claims and regularly follow up with TPAs/insurance companies.

- Assist in identifying reasons for claim rejection or deduction and take corrective action.

- Ensure compliance with hospital policies, insurance guidelines, and applicable regulatory requirements.

- Maintain confidentiality of patient and insurance-related information.

- Prepare daily/weekly/monthly reports related to insurance admissions, approvals, claims, rejections, and pending settlements.

- Perform any other duties assigned by the reporting manager or hospital administration.

Pay: ₹25,000.00 - ₹35,000.00 per month

Work Location: In person

📌 Insurance Co-ordinator (Kozhikode)
🏢 MALABAR MEDICAL COLLEGE , ULLIYERI
📍 Kozhikode