Insurance Executive

Job Title: Hospital Insurance Executive

Department: Billing / Insurance
Job Type: Full-time
Experience: 3+ years
Qualification: Any Degree / B.Com / BBA / Hospital Administration or related field
Location: [Enter Hospital Location]

Job Summary

We are looking for a detail-oriented and responsible Hospital Insurance Executive to manage health insurance and cashless hospitalization processes. The candidate will coordinate with insurance companies, Third-Party Administrators (TPAs), patients, and hospital departments to ensure smooth processing of insurance approvals, claims, and billing.

Key Responsibilities

• Handle cashless hospitalization requests and insurance-related documentation.
• Coordinate with insurance companies and TPAs for pre-authorization and approval of treatments.
• Verify patient insurance eligibility, policy details, and coverage.
• Prepare and submit insurance claims with the required medical records and supporting documents.
• Follow up on pending approvals, claim submissions, and outstanding insurance payments.
• Coordinate with doctors, nursing staff, medical records, and billing departments to obtain necessary documents.
• Assist patients and their families with insurance procedures and documentation requirements.
• Review claim discrepancies, rejections, and queries, and coordinate for resolution.
• Maintain accurate records of insurance approvals, claims, and billing transactions.
• Ensure compliance with hospital policies and insurance company guidelines.

Educational Qualification

• Any bachelor's degree is preferred.
• B.Com, BBA, Hospital Administration, Healthcare Management, or a related qualification will be an advantage.
• Knowledge of health insurance, medical billing, cashless claims, and TPA procedures is preferred.

Required Skills

• Good communication and coordination skills.
• Basic computer knowledge and proficiency in MS Office.
• Attention to detail and accuracy in documentation.
• Ability to coordinate with insurance companies, TPAs, patients, and hospital departments.
• Good follow-up, problem-solving, and time-management skills.
• Knowledge of hospital billing and insurance claim procedures is an added advantage.

Experience

• Freshers may apply if they have good communication skills and a willingness to learn.
• Candidates with 3+years of experience in hospital insurance, TPA coordination, medical billing, or healthcare administration are preferred.

Salary

As per industry standards and based on qualification and experience.

How to Apply

Interested candidates can apply through Indeed with their updated resume.

Job Type: Full-time

Work Location: In person

Pay: ₹10,000.00 - ₹20,000.00 per month

Work Location: In person