- Pre-Authorization Management. Submit initial medical estimates and patient documents to Third-Party Administrators (TPAs) and insurers for cashless treatment approval.
- Claim Verification and Filing. Review pending insurance claims and ensure all discharge summaries, diagnostic reports, and itemized bills are accurate before submission.
- Inter-Departmental Coordination. Work closely with doctors, billing teams, and medical records departments to resolve clinical queries raised by insurance companies.
- TPA and Insurer Follow-Up. Track claim status daily and follow up with TPAs or insurers to ensure timely approvals and final settlements.
- Query and Deduction Resolution. Address claim rejections or partial deductions by providing supporting medical justifications to minimize hospital bad debts.
- MIS Reporting. Maintain daily trackers for pending approvals, settled claims, and outstanding receivables from insurance partners.

📌 Credit Cell Executive (Chennai)
🏢 Kauvery Hospital
📍 Chennai