Coordinate desk operations for Third-Party Administrators (TPA), Government Health Schemes (ECHS), and major insurance providers.
- Patient Guidance &
- Processing:
Assist patients with cashless pre-authorization, eligibility checks, claim submission, and query resolution for ophthalmic procedures.
- Documentation &
- Billing:
Prepare, review, and upload accurate clinical and billing documentation (discharge summaries, diagnostic reports, and procedure notes) to ensure timely approvals.
- Claim Settlement &
- Reconciliations:
Track claim statuses, resolve rejections/shortfalls, and coordinate with finance for timely payment reconciliation.
- Compliance &
- Coordination:
Ensure strict adherence to NABH standards, ECHS guidelines, and insurer-specific protocols