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
Versatile schedule
Food provided
Paid sick time
Paid time off
Provident Fund