01Overview
Department: Insurance / TPA
Reports To: Administrative Officer / Manager Operations
Location: Sushrushah Hospital, Nagercoil, Tamilnadu
Job Purpose
To coordinate all insurance and TPA-related activities, ensuring timely pre-authorization, claim processing, documentation, billing, and settlement while providing excellent support to patients and insurance companies.
Job Responsibilities
- Handle insurance and TPA claim processes.
- Obtain pre-authorization approvals for cashless patients.
- Verify insurance documents and patient eligibility.
- Coordinate with insurance companies, TPAs, doctors, and billing department.
- Prepare and submit claim documents accurately and on time.
- Follow up on pending approvals, claims, and settlements.
- Resolve claim queries and maintain proper records.
- Guide patients regarding insurance procedures.
Requirements
- Any Bachelor's Degree.
- 13 years of experience in hospital insurance/TPA claim processing preferred.
- Good communication and coordination skills.
- Basic computer knowledge (MS Office/Hospital Software).
- Ability to work independently and maintain accurate documentation.
Skills
- Positive communication and interpersonal skills.
- Knowledge of insurance and TPA procedures.
- Strong documentation and record-keeping skills.
- Basic medical terminology knowledge.
- Computer proficiency (MS Office and Hospital Information System).
- Time management and multitasking abilities.
- Problem-solving and negotiation skills.
Salary: Salary will be commensurate with the candidate's qualifications and relevant experience.
Working Hours
- As per hospital duty roster.
- May be required to work on weekends, holidays, or extended hours based on patient admissions and discharge requirements.
Benefits:
- Commuter assistance
- Provident Fund
Work Location: In person .
