21 Sep
|
GEM HOSPITAL
|
India
21 Sep
GEM HOSPITAL
India
Hospital insurance staff manage the financial and administrative link between patients, healthcare providers, and insurance companies or third-party administrators. Key Staff Roles and Responsibilities
- Insurance/TPA Desk Officer
- Validate patient insurance cards and policy details
- Submit pre-authorization and cashless claim requests to insurers
- Explain coverage inclusions, exclusions, and co-pays to patients.
- Insurance Billing & Claims Specialist
- Review medical bills and coding for billing accuracy
- Dispatch final claims and supporting medical records to insurance providers
- Track claim statuses and manage follow-ups for pending payments
- Claims Rejection & Appeals Officer
- Analyze rejected or denied insurance claims
- Coordinate with medical teams to gather missing documentation
- File appeals to recover unpaid or disputed balances
- Insurance Operations Manager / Executive
- Oversee daily insurance and corporate billing workflows
- Monitor aging reports, discounts, and revenue collection
- Liaise with insurance company executives for policy updates and dispute resolutions
Pay: ₹20,000.00 - ₹25,000.00 per month
Advantages:
- Flexible schedule
- Food provided
- Paid sick time
- Paid time off
- Provident Fund
Work Location: In person
📌 Insurance Executive (India)
🏢 GEM HOSPITAL
📍 India