- Coordinate and network between patients, physicians, consultants, and insurance companies for cashless hospitalization and treatment approvals.
- Manage filing, tracking, and follow-up of insurance authorizations and approvals; update and inform patients regarding authorization status.
- Prepare, submit, and follow up on insurance forms, pre-authorization requests, and related correspondence.
- Verify and ensure insurance details, eligibility, coverage limits, and authorization validity are accurate, current, and not nearing expiration.
- Contact insurance companies to obtain and update patient eligibility and benefit information in the billing/prescription processing systems to minimize claim rejections and improve adjudication outcomes.
- Patient & Claims Support
- Handle patient queries related to unpaid balances, deductions, and insurance-related clarifications.
- Contact patients as required to obtain complete and accurate information necessary for claim processing and adjudication.
- Resolve billing, pharmacy, and medical documentation issues impacting insurance claims in coordination with internal departments.
- Research, analyze,



and correct denied or rejected claims in collaboration with the billing office to ensure timely resubmission and settlement.
- Documentation & Confidentiality
- Circulate required medical, billing, and insurance documentation for internal review and submission to insurance companies.
- Maintain strict confidentiality of patient medical records and sensitive data in compliance with organizational policies and regulatory requirements.
- Training, Development & Quality & Other Responsibilities
- Attend internal and external training programs related to insurance, cashless processing, billing systems, and regulatory updates.
- Continuously update knowledge on insurance policies, payer guidelines, cashless procedures, and claim adjudication processes.
- Adhere to organizational and departmental policies, standard operating procedures (SOPs), and standing orders.
- Support implementation of quality initiatives and process improvements within the department.

Pay: ₹20,000.00 - ₹35,000.00 per month

Advantages:

- Leave encashment
- Provident Fund

Experience:

- Cashless Coordinator: 1 year (Preferred)

Location:

- Borivali, Mumbai, Maharashtra (Preferred)

Work Location: In person

📌 Cashless Coordinator (Borivali)
🏢 LMH healthcare services Private
📍 Borivali