We are looking for a responsible and detail-oriented Health Insurance Administrator to manage insurance-related activities, patient documentation, and coordination with insurance companies and TPAs.
Key Responsibilities:
- Handle health insurance claims, pre-authorizations, and cashless requests.
- Coordinate with insurance companies and TPAs for approvals and queries.
- Verify patient insurance eligibility and policy details.
- Prepare and submit required documents for pre-authorization and claims.
- Follow up on pending approvals, claim settlements, and rejections.
- Coordinate with patients, hospitals, doctors, and internal teams regarding insurance requirements.
- Maintain accurate records of insurance cases and documentation.
- Ensure timely submission of claims and required supporting documents.
- Resolve insurance-related queries and assist patients throughout the process.
- Monitor claim status and maintain proper follow-up records.