Responsibilities and Duties.
· Serve as a point of contact for Insurance related inquiries
· Create a consistent, positive work atmosphere through the communication
· Close interaction with respective department at hospital
· To interact with hospital insurance patients.
· Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital
· To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.)
· Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company.
· Send the pre auth request and follow up on cashless approval form insurance company.
· Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as when necessary.
· Follow-up and Updates to be given to the clients