Overview
- Responsible for assisting patients with the processing of insurance claims and coordinating with insurance companies. Keeping the record of insurance claims and billing with excellent filing skills.
- Attend Insurance customers in the Clinic.
- Obtain authorizations from respective Insurance providers for Healthcare services in the clinic.
- Collect payments from allotted companies.
- Prepare credit bill statements of the insurance providers.
- Attend queries from allotted companies.
- Maintain files and records of all insurance cases.
- Attend to the customer queries related to Health Insurance.
- Prepare monthly and weekly and Quarterly MIS of the department.
- Attend all VIP customers of Insurance providers at the clinic.
- Assists and reviews claims pre and post submission to determine completeness, accuracy and collection of unpaid and denied claims.
- Facilitate the processing of unpaid and denied claims and receipt of payments from insurance companies.
- Works closely with Patient Relations Manager, Customers Care Representatives, Nursing Staff, Insurance Manager, Insurance Coordinator and providers to ensure claims accuracy and processing.
- Establish working relationships with insurance carriers and third party payers
- Enters data into the computer as needed.
- Maintains frequent phone contact with case managers at third party insurance companies.
- Perform any job/task as and when assigned by the superior.
All the best! - 
