Job Description – Insurance Coordinator

Organization: Healing Hands Clinic
Location: Dhole Patil Road, Pune
Department: Insurance / TPA

Job Summary

Healing Hands Clinic is looking for a detail-oriented and responsible Insurance Coordinator to manage insurance-related activities, coordinate with patients, insurance companies, and Third-Party Administrators (TPAs), and ensure smooth processing of cashless and reimbursement claims. The candidate will be responsible for documentation, pre-authorizations, claim submissions, and timely follow-ups to ensure a hassle-free insurance experience for patients.

Key Responsibilities

1. Insurance & Cashless Coordination

- Handle cashless insurance cases and coordinate with various insurance companies and TPAs.
- Process pre-authorization requests for patient admissions and treatments.
- Coordinate with insurance companies for approval of cashless requests.
- Follow up on pending approvals and ensure timely processing.
- Communicate insurance-related updates to patients and their families.

2. Documentation & Claim Processing

- Collect and verify necessary documents from patients for insurance processing.
- Ensure accurate preparation and submission of pre-authorization and claim documents.
- Check patient insurance details, policy validity, coverage, and exclusions.
- Coordinate discharge formalities related to insurance claims.
- Ensure timely submission of final bills, discharge summaries, investigation reports, and other required documents.

3. Coordination & Follow-ups

- Coordinate with the billing department, doctors, nursing staff, and admission team.
- Liaise with insurance companies and TPAs regarding claim approvals and queries.
- Follow up on pending claims, deductions, rejections, and settlement status.




- Assist patients and attendants in understanding insurance procedures and documentation requirements.

4. Billing & Claim Management

- Verify insurance approvals against the final hospital bill.
- Coordinate for approval of additional expenses and extensions wherever required.
- Maintain records of approved, pending, rejected, and settled claims.
- Identify discrepancies in claims and coordinate for necessary corrections.
- Ensure timely closure of insurance cases.

5. MIS & Reporting

- Maintain insurance records, claim registers, and daily reports.
- Prepare reports on cashless cases, claim status, pending approvals, and outstanding claims.
- Ensure proper filing and maintenance of insurance-related documents.
- Follow hospital policies and insurance-related protocols.

Eligibility Criteria

- Qualification: Graduate in any discipline. Healthcare, hospital administration, or commerce background preferred.
- Experience: 1–3 years of experience in hospital insurance coordination, TPA desk, or medical billing preferred.
- Knowledge of cashless insurance processes, health insurance policies, and TPA procedures.
- Familiarity with hospital billing and discharge processes.
- Valuable communication and coordination skills.
- Basic computer knowledge and proficiency in MS Office.

Required Skills

- Insurance & TPA Coordination
- Cashless Authorization & Claim Processing
- Hospital Billing Knowledge
- Documentation & Record Management
- Patient Handling & Communication
- Follow-up and Coordination
- Attention to Detail and Problem-solving

Job Details

- Designation: Insurance Coordinator
- Location: Dhole Patil Road, Pune
- Department: Insurance / TPA
- Employment Type: Full-Time
- Salary: As per experience and interview.
- Joining: Immediate joiners preferred.

Pay: ₹20,000.00 - ₹30,000.00 per month

Work Location: In person

📌 Insurance Coordinator (Pune)
🏢 Healing Hands Clinic
📍 Pune