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.

Contact HR - (phone hidden)

Pay: ₹18,000.00 - ₹30,000.00 per month

Perks

- Provident Fund

Work Location: In person

📌 Insurance Executive (Ennore)
🏢 Saraswathi Hospital
📍 Ennore