Full job description

JOB DESCRIPTION – INSURANCE COORDINATOR

Department: Insurance / Billing
Industry: Hospital
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.
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.
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.
Robust 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.
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

Perks:
Cell phone reimbursement
Flexible schedule
Provident Fund

Work Location: In person

Advantages:
Flexible schedule
Paid time off
Provident Fund

Work Location: In person

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