JOB DESCRIPTION INSURANCE COORDINATOR

Department: Insurance / Billing
Designation: Insurance Coordinator
Industry: Hospital / Healthcare – MV Hospital for Diabetes
Work Location: MV Hospital for Diabetes, Royapuram, Chennai
Working Hours: 9:00 AM – 6:00 PM
Experience: 2–5years in Hospital Insurance / TPA / Medical Claims

Educational Qualification
Any Degree / B.Com / BBA / Healthcare Management preferred.
Certification in Medical Billing, Insurance or Healthcare Administration will be an added advantage.

Key Responsibilities
Coordinate with patients, doctors, billing team and insurance/TPA companies for claim processing.
Handle cashless and reimbursement insurance claims from admission to discharge.
Verify patient insurance eligibility, policy details and coverage.
Prepare and submit pre-authorisation requests to insurance companies/TPAs.
Coordinate for approval, enhancement and final authorisation.
Collect and verify required medical and billing documents for claim submission.
Prepare and submit discharge claim documents within the required timelines.
Follow up with insurance companies/TPAs regarding pending approvals and claims.
Coordinate with the medical records, billing and accounts departments for required documents.
Track rejected,



pending and settled claims and take necessary follow-up action.
Maintain proper records of insurance claims, approvals and settlements.
Communicate with patients and their attendants regarding insurance procedures and claim requirements.
Ensure accurate documentation and timely submission of claims.
Handle insurance queries and resolve claim-related issues.
Maintain confidentiality of patient and insurance information.
Prepare daily/weekly/monthly insurance claim status reports.

Required Skills
Good knowledge of Hospital Insurance and TPA claim processes.
Knowledge of cashless and reimbursement procedures.
Positive communication and interpersonal skills.
Basic knowledge of medical terminology and hospital billing.
Positive computer knowledge, especially MS Excel and MS Office.
Solid follow-up and coordination skills.
Ability to work accurately under pressure and meet claim-processing timelines.

Preferred Experience

Experience in:
Hospital Insurance / TPA Desk
Cashless Claim Processing
Pre-authorisation & Final Approval
Medical Billing
Insurance Claim Documentation
Claim Reconciliation and Follow-up

Working Hours

9:00 AM – 6:00 PM

Preferred candidate profile

📌 Insurance Coordinator Chennai
🏢 M V Hospital
📍 Chennai