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 perk 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