Insurance Executive - SRM

• Coordinate with insurance companies and TPAs for pre-authorization approvals.

• Verify patient eligibility and insurance coverage prior to admission.

• Collect and submit necessary documents for pre-authorization and final claims.

• Ensure correct coding (ICD, procedure codes) and documentation for claim processing.

• Maintain communication between patients, doctors, and insurance desks for status updates.

• Track and follow up on pending claims, rejections, or queries.

• Prepare and maintain daily insurance MIS reports.

• Assist in billing and discharge processes for insured patients.

• Support cashless and reimbursement claim procedures.

• Ensure compliance with hospital and insurance policies at all times.

• Bachelor s degree in any discipline (preferably in commerce, healthcare management, or related fields).

• Good communication and interpersonal skills.

• Basic knowledge of MS Office (Word, Excel).

• Eagerness to learn hospital insurance processes.

• 1 3 years of experience in hospital insurance desk operations or TPA coordination.

• Familiarity with pre-authorization, claim submission, and insurance software portals.

• Strong follow-up and documentation skills.

• Knowledge of TPA networks and corporate insurance policies.

• Attention to detail

• Customer service orientation

• Team coordination

• Time management

• Problem-solving attitud