Insurance Executive

Job Description

Claims Management: Processing and managing insurance claims efficiently, ensuring timely resolution and accurate billing. Insurance Verification and Coordination: Verifying patient insurance eligibility and coverage, and coordinating with insurance companies to obtain necessary authorizations or referrals. Patient Support: Handling patient inquiries regarding insurance coverage, claims, and billing. Compliance and Regulations: Adhering to all relevant regulations and guidelines, including those related to state programs and managed care organizations. Data Management: Maintaining accurate records of insurance claims, patient information, and insurance company interactions. Policy and Procedure Development: Designing, updating, and implementing policies and procedures related to insurance operations to ensure efficiency and accuracy. Reporting and Analysis: Preparing periodic reports on insurance discounts, rejections, and other relevant metrics. TPA Portal Management: Managing all Third-Party Administrator (TPA) portals. Financial Reconciliation: Handling billing department tasks, including updating and reconciling implant bills. Referral and Authorization Management: Obtaining and reviewing referrals and authorizations for treatments. Monitoring and Follow-up: Monitoring the status of insurance claims and following up with insurance companies to ensure timely payment and resolution. Collaboration: Working with various departments, including the billing department, patient accounts, and medical staff, to ensure smooth insurance operations. Job Type: Full-time Pay: ₹10,000.00 - ₹15,000.00 per month Schedule: Day shift Experience: insurance: 1 year (Preferred) Work Location: In person Speak with the employer +91 9703586000