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Coordinator

1.00 to 3.00 Years   Hyderabad   09 Apr, 2021
Apollo Hospitals Enterprise Limited
Job LocationHyderabad
EducationNot Mentioned
SalaryNot Disclosed
IndustryMedical / Healthcare
Functional AreaSales / BD
EmploymentTypeFull-time

Job Description

*Competencies:

  • Computer Savvy.
  • Good communication
  • Medical background knowledge
  • Exclusive Insurance Knowledge
Job Responsibilities:
  • Counseling and educating the insured patient, Consultant doctors and the paramedical staff about the insurance policies and procedures.
  • Communication and coordination with the insurance companies, doctors, and the patient s for pre-authorization, admissions under insurance and enhancements.
  • To verify, rectify and certify all the medicals records and insurance documents of a insured patient s on daily basis.
  • To answer all the medical queries raised by the insurance companies for pre-authorization and payments to the hospitals.
  • Preauthorization Discharge and enhancements To process claims for pre-authorization, discharges and follow up meticulously.
  • To certify discharges and surgical clearances through insurance coverage.
  • To update and send the insurance status to all concerned staff on regular basis.
  • To update the billing and the insured patient about the status amount approved, denials and interim enhancements.
  • To identify the flaws and negative aspects pertaining to insurance processing and procedures in the hospital.
  • Timely submission of Insurance documents to the insurance companies.
  • To educate the insured patient about the re-imbursements procedures and guide them for a possible re-imbursements in case of denials of cashless.
  • To co-ordinate with operations team, consultant doctors, registers, nursing, ward secretaries and the billing for betterment of insurance services in the hospital.
  • To represent the all-insurance companies and the insured patient on behalf of the medical team of the hospital.
,

Keyskills :
insurance processingclaimsnursingrecordsdenialspaymentssurgicalinsuranceeducationdischargeoperationsconsultingadmissionsclearancesdischargesenhancementsSubrogationClaim InvestigationProperty Damagemedical

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