INSURANCE COORDINATOR
ZULEKHA HOSPITAL
Total years of experience :18 years, 2 Months
• To obtain approvals for Patients during the Hospital working hours & providing proper information to the concerned Doctors & Patients ( Along with related queries of Insurance Companies) and saving and filing them appropriately.
• To receive claims from Doctors on a daily basis and to counter check with daily visits of the Doctors.
• Preliminary check of the completion of the forms in terms of Card Numbers/Name/Signs & Symptoms/Diagnosis/prescription/patient’s signature/stamp & sign of the Doctors.
• To settle all the claims received on a daily basis.
• To attach all Reports
• To complete the missing requirements as pointed out.
• To close all the forms in the system.
• To prepare the statements of all Companies.
• To enter claims through online on e-claim.
• To pack and dispatch claims to Finance and ultimately to the Insurance Company.
• Maintaining records of insurance companies contract, approval soft & hard copy, reconciliation, payment & write off status.
To Handle rejection management by doing reconciliation
• To provide comprehensive information to new Doctors regarding Insurance coverage and address relevant queries.
• To solve the queries of Receptionists and Cashiers related to new cards/new Companies on panel.
• Providing regular training to staff with respect to insurance procedure / protocols
• To obtain approvals for Patients during the Hospital working hours & providing proper information to the concerned Doctors & Patients ( Along with related queries of Insurance Companies) and saving and filing them appropriately.
• To receive claims from Doctors on a daily basis and to counter check with daily visits of the Doctors.
• Preliminary check of the completion of the forms in terms of Card Numbers/Name/Signs & Symptoms/Diagnosis/prescription/patient’s signature/stamp & sign of the Doctors.
• To settle all the claims received on a daily basis.
• To attach all Reports
• To complete the missing requirements as pointed out.
• To close all the forms in the system.
• To prepare the statements of all Companies.
• To enter claims through online on e-claim.
• To pack and dispatch claims to Finance and ultimately to the Insurance Company.
• Maintaining records of insurance companies contract, approval soft & hard copy, reconciliation, payment & write off status.
• To provide comprehensive information to new Doctors regarding Insurance coverage and address relevant queries.
• To solve the queries of Receptionists and Cashiers related to new cards/new Companies on panel.
• Providing regular training to staff with respect to insurance procedure / protocols