Bachelor s degree in any discipline or equivalent.
Must have min. 06 to 24 Months of experience.
Experience into Health care is must.
Responsibilities
Responsible for counseling patient s family pre-Auth process
Maintaining uploading patient s files on the portal.
Couriering the hard copy of patient s medical file to the Insurance companies.
Responsible for all co-ordination activities from patient s admission to discharge.
Handling billing Department, Implants bill updating reconciliation
Daily co-ordination with the patient and Hospital staff.
Preparing split bills/ Doctor charges etc
Handling all TPA Portals
Outstanding follow-up with TPA
Monthly Review report
To obtain and review referrals and authorizations for treatments.
To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
Must be aware of norms of the insurance sector.
Daily follow up with Insurance companies to pass or clear the Health Insurance claims