Full job description

JOB DESCRIPTION – INSURANCE COORDINATOR

Department: Insurance / Billing
Industry: Hospital

1. Job Purpose

To coordinate health insurance and cashless treatment processes, ensuring timely pre-authorizations, claim submissions, documentation, and settlement in accordance with hospital policies and insurance/TPA requirements.

2. Key Responsibilities

- Coordinate with insurance companies and Third-Party Administrators (TPAs) for cashless treatment approvals.
- Verify patient insurance eligibility, policy details, and coverage limits.
- Obtain pre-authorization and enhancement approvals for inpatient treatments.
- Ensure accurate preparation and timely submission of insurance claims.
- Coordinate with doctors, nursing staff, billing, medical records, and patients for required documents.
- Follow up on pending claims, queries, deductions, and rejected claims.
- Maintain insurance records, approval letters, claim status, and settlement details.
- Explain insurance procedures and documentation requirements to patients and their attendants.
- Support discharge coordination and ensure timely submission of final bills.
- Prepare daily and monthly reports on approvals, pending claims, rejections, and settlements.




- Maintain patient confidentiality and comply with hospital policies and applicable regulations.

3. Qualifications and Experience

- Graduate in any discipline; healthcare administration or insurance-related qualifications preferred.
- 1–3 years of experience in hospital insurance, billing, or TPA coordination preferred.
- Knowledge of cashless insurance procedures, claim documentation, and hospital billing processes.
- Knowledge of health insurance policies and TPA procedures.
- Solid communication and coordination skills.
- Accuracy in documentation and data entry.
- Follow-up, problem-solving, and time-management skills.
- Proficiency in MS Office and hospital information systems (HIS).
- Ability to work under pressure and meet deadlines.

4. Performance Evaluation

Performance will be assessed based on authorization turnaround time, claim submission accuracy, pending claim follow-up, rejection rates, documentation quality, and patient service.

Pay: ₹15,000.00 - ₹20,000.00 per month

Benefits:

- Cell phone reimbursement
- Flexible schedule
- Provident Fund

Work Location: In person

Benefits:

- Flexible schedule
- Paid time off
- Provident Fund

Work Location: In person

📌 Insurance Executive For hospital (Tiruppur)
🏢 SAMIKRIGA HOSPITALS - TIRUPPUR
📍 Tiruppur