Insurance Executive

Job Title: Hospital Insurance Executive

Job Type: Full-time
Department: Billing / Insurance/TPA
Experience: Experienced
Location: Sri Ambal Healthcare
Salary: As per hospital standards and experience

Job Description

We are looking for a responsible and detail-oriented Hospital Insurance Executive to join our hospital team. The candidate will be responsible for handling insurance and Third-Party Administrator (TPA) processes, coordinating cashless hospitalization approvals, verifying patient insurance details, and assisting patients with insurance claims and billing procedures.

Key Responsibilities

• Verify patient insurance policies and eligibility.
• Handle cashless insurance authorization and pre-authorization requests.
• Coordinate with insurance companies and TPA departments.
• Prepare and submit insurance claims with the required documents.
• Follow up on claim approvals, queries, and settlements.
• Coordinate with the admission, billing, and discharge departments.
• Explain insurance coverage, exclusions, and claim procedures to patients and their families.
• Maintain accurate insurance records and documentation.
• Ensure timely submission of claims and follow hospital procedures.
• Assist in resolving insurance-related issues and patient queries.

Qualifications

• A degree in commerce, healthcare administration, or a related field is preferred.
• Knowledge of hospital billing, medical insurance, and TPA procedures is an advantage.
• Good communication and computer skills.
• Ability to maintain accurate records and coordinate with multiple departments.

Skills Required

• Medical insurance processing
• Cashless authorization
• TPA coordination
• Insurance claim submission and follow-up
• Hospital billing and documentation
• Patient communication
• MS Office and basic computer skills

Salary and Benefits

• Salary based on qualifications and experience.
• Opportunities for career growth.
• Accomadation and Food Provided.

Pay: Up to ₹28,000.00 per month

Benefits:

• Flexible schedule
• Paid sick time

Work Location: In person