JOB DESCRIPTION INSURANCE COORDINATOR

Department: Insurance / Billing
Designation: Insurance Coordinator
Industry: Hospital / Healthcare – MV Hospital for Diabetes
Work Location: MV Hospital for Diabetes, Royapuram, Chennai
Working Hours: 9:00 AM – 6:00 PM
Experience: 2–5years in Hospital Insurance / TPA / Medical Claims

Educational Qualification

- Any Degree / B.Com / BBA / Healthcare Management preferred.
- Certification in Medical Billing, Insurance or Healthcare Administration will be an added advantage.

Key Responsibilities

- Coordinate with patients, doctors, billing team and insurance/TPA companies for claim processing.
- Handle cashless and reimbursement insurance claims from admission to discharge.
- Verify patient insurance eligibility, policy details and coverage.
- Prepare and submit pre-authorisation requests to insurance companies/TPAs.
- Coordinate for approval, enhancement and final authorisation.
- Collect and verify required medical and billing documents for claim submission.
- Prepare and submit discharge claim documents within the required timelines.
- Follow up with insurance companies/TPAs regarding pending approvals and claims.
- Coordinate with the medical records, billing and accounts departments for required documents.
- Track rejected,



pending and settled claims and take necessary follow-up action.
- Maintain proper records of insurance claims, approvals and settlements.
- Communicate with patients and their attendants regarding insurance procedures and claim requirements.
- Ensure accurate documentation and timely submission of claims.
- Handle insurance queries and resolve claim-related issues.
- Maintain confidentiality of patient and insurance information.
- Prepare daily/weekly/monthly insurance claim status reports.

Required Skills

- Good knowledge of Hospital Insurance and TPA claim processes.
- Knowledge of cashless and reimbursement procedures.
- Positive communication and interpersonal skills.
- Basic knowledge of medical terminology and hospital billing.
- Good computer knowledge, especially MS Excel and MS Office.
- Strong follow-up and coordination skills.
- Ability to work accurately under pressure and meet claim-processing timelines.

Preferred Experience

Experience in:

- Hospital Insurance / TPA Desk
- Cashless Claim Processing
- Pre-authorisation & Final Approval
- Medical Billing
- Insurance Claim Documentation
- Claim Reconciliation and Follow-up

Working Hours

9:00 AM – 6:00 PM

Preferred candidate profile

📌 Insurance Coordinator (Chennai)
🏢 M V Hospital
📍 Chennai