To be filled up as per the requirement of the Division / unit / function / territory
Grade
B1
Reporting To
Mediclaim Manager
Division
Unit
Unit
LOCATION DETAILS
Please mention the correct office location of the Role selected above and fill in the other geographic details
Base Location (City)
Country
India
Job-Holder Specifications
QUALIFICATION
Basic Qualification / Education / Vocational Training
Graduation in any discipline
Advanced
Qualification / Certification / Specialist Training
NA
EXPERIENCE
Minimum Experience
1-2 years
Specific / Relevant Experience
1-2 years
COMPETENCIES
Functional Skills and Capabilities
Behavioural
- Courteous and skilled approach
- Responsible in nature
- Polite in speech
- Problem solving ability
- Tolerant
Functional
- Knowledge about mediclaim procedure for TPA
- Well equipped with computers
- Thorough with company knowledge and packages
- Documentation of data
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Objective
To carry out the administrative and billing procedure by providing accurate estimates, checking the outstanding and smooth discharge process for mediclaim clients in the Mediclaim department.
Key Responsibilities
1
Administrative
- Attending and counseling patients for mediclaim
- Explaining policies, explaining packages and mediclaim documentation
- Coordinate for consultation, packages if needed
- Thorough checking of patient documents
- Forwarding and sending documents to TPA and follow up with the companies
- Informing patients about the approval and payment breakage
- Entering data on portals, excel and care works.
- Admission of patients and coordinating for internal query resolution
- Coordinating with OT, admission, billing, OPD and resolving their queries
- Sending the discharge documents to the company, follow up with them, making checklist and entering the data on portal
- Sending the patient data to billing department
- Preparation of two document copies: one for patient and another for hospital records
- Attending, answering and guiding patient queries on calls and mails
- After discharge, resolving query and help in sorting queries
- Refunding of patient amount in case of excess payment received
- Informing, couriering and mailing patients about queries
- Coordinating among units and TPA as per requirement (eg: Shifting)
- Clearing of all queries before completion of duty hours
- Attending queries after duty hours as per requirement
- Coordinating within the department as per requirement