Mediclaim Executive - Ahmedabad, India - Dr Mehta Smarak Health Foundation , Bakeri Medical Research Centre

Dr Mehta Smarak Health Foundation , Bakeri Medical Research Centre

Verified Company

Ahmedabad, India

2 weeks ago

Posted by:

Deepika Kaur

beBee Recuiter

Job Description:
Mediclaim Executive

Key Responsibilities:

1.

Insurance Verification:

Verify patients' insurance coverage and eligibility for various medical procedures and treatments.
Coordinate with insurance companies to gather necessary information and ensure accurate coverage details.
Explain insurance benefits and coverage limitations to patients and their families.

2. Pre-authorization and Documentation:

Initiate the preauthorization process for planned medical procedures, surgeries, and treatments.
Prepare and submit required documentation to insurance companies for preapproval.
Collaborate with medical staff to provide necessary medical records and supporting documents.

3.

Claims Processing:

Assist patients in submitting insurance claims by providing accurate information and documentation.
Monitor the status of claims and follow up with insurance companies to ensure timely processing.
Address any claim denials, discrepancies, or rejections, and work to resolve them.

4.

Patient Communication:

Maintain clear and open communication with patients regarding their insurance coverage, claims, and related financial matters.
Address patient queries and concerns about insurance billing and coverage.

5.

Coordination with Medical Teams:

Collaborate with medical professionals to ensure that the necessary medical records and documentation are provided for insurance purposes.
Coordinate with doctors, nurses, and other healthcare staff to gather relevant medical information required for insurance claims.

6.

Compliance and Regulations:

Stay updated with insurance industry regulations, policy changes, and best practices.
Ensure compliance with all legal and regulatory requirements related to insurance and billing processes.

7.

Data Management:

Maintain accurate and organized records of insurancerelated information, claims, and documentation.
Utilize hospital information systems to track and manage insurancerelated data.

8.

Financial Assistance:

Assist patients in understanding the financial aspects of their medical treatments, including deductibles, copays, and outofpocket expenses.
Provide guidance on available financial assistance programs or options for patients who may face financial challenges.

9.

Team Collaboration:

Collaborate with other hospital departments, such as billing, finance, and front desk, to streamline insurancerelated processes.
Participate in training sessions and knowledge sharing to enhance the overall understanding of insurance processes within the hospital.

Job Types:
Full-time, Permanent

Salary:
Up to ₹20,000.00 per month

Benefits:

Schedule:

Ability to commute/relocate:

Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (required)

Experience:

- total work: 1 year (preferred)

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