Insurance Executive

Work closely with patients, billing, and medical teams to facilitate cashless hospitalization and insurance processing.

Verify patient health insurance policies, pre-authorization forms, and coverage limits for hospital admissions.

Manage Claims submission workflows, tracking approval statuses with Third Party Administrators (TPAs) and insurance firms.

Ensure strict regulatory and internal Compliance during patient documentation and billing verification routines.

Partner with the Billing department to ensure accurate discharge summaries and itemized invoices are processed promptly.

Function as a dedicated Compliance Executive to prevent claim rejections, delays, or audit discrepancies.

Maintain complete registers of pre-authorizations, claim settlements, and patient billing records.

Bachelor's degree in Commerce, Business Administration, Hospital Administration, or related disciplines.

1–3 Yrs of experience in hospital TPA desks, medical insurance processing, or health claims management.

Direct familiarity with health insurance coverage rules, cashless claim approvals, and medical billing codes.

Excellent interpersonal skills, detail orientation, and clear coordination capabilities.