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.Positive communication, coordination, and computer skills

Benefits:

- Flexible schedule

Work Location: In person

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