1. Pre-Authorization Management

- Speaking with patients/attendants regarding pre-authorization for new admissions and addressing pre-auth queries, if any.
- Ensuring that no pre-auth remains pending at the end of the day.

2. Insurance Tracker & Documentation

- Updating the insurance tracker.
- Updating settlement details in the insurance tracker.
- Updating insurance settlement copies in a separate folder and informing the Accounts Department.
- Update the insurance and billing tracker on a daily basis.

3. Claims Coordination

- Addressing claim queries, coordinating with quick claims, and ensuring queries are replied to properly.
- Ensuring that the final bill amount sent to the insurance matches the hospital bill.

4. Settlement & Refund Processing





- Preparing recent Excel sheets for all pre-auth, final approval, and settlement details.
- Processing refunds (after receiving the cancelled cheque, ensuring the refund documents reach the Accounts Department within 24 hours).

5. Handover & Communication

- Updating the handover tracker and providing complete details of pending cases and approval cases to the PRO.

6. Training & Compliance

- Attend all compulsory training related to the insurance process, HR, and administration.

Job Type: Full-time

Pay: ₹25,000.00 - ₹40,000.00 per month

Work Location: In person

📌 Insurance Executive (Bengaluru)
🏢 RANGADORE MEMORIAL HOSPITAL
📍 Bengaluru