Insurance Coordinator

Department: Insurance / Billing
Location: Coimbatore, Tamil Nadu
Industry: Healthcare / Hospital
Experience: 1–3 Years (Hospital insurance experience preferred)
Qualification: Any Degree / B.Com / BBA or a relevant qualification

Roles and Responsibilities

• Coordinate with insurance companies and TPAs for cashless hospitalization approvals.
• Verify patient insurance details, policy validity, eligibility, and coverage.
• Obtain pre-authorization and enhancement approvals for inpatient admissions.
• Coordinate with doctors, nursing staff, billing, and medical records departments to collect the required documents.
• Prepare and submit insurance claims with accurate supporting documents.
• Follow up on pending approvals, claim settlements, and queries raised by insurance companies.
• Ensure timely submission of discharge summaries, investigation reports, bills, and other claim documents.
• Handle claim rejections, deficiencies, deductions, and resubmissions.
• Maintain insurance records, approval status, pending claim trackers, and daily reports.
• Explain insurance coverage, exclusions, co-payments, and non-payable items to patients and their attendants.
• Ensure compliance with hospital policies, insurer guidelines, and documentation requirements.
• Support government health schemes and corporate insurance processes, wherever applicable.

Preferred Experience

Candidates with experience in a multispecialty hospital, insurance desk, TPA desk, or hospital billing department will be preferred.

Pay: ₹18,000.00 - ₹27,000.00 per month

Work Location: In person