Job Description

The Insurance Coordinator for a hospital plays a vital role in ensuring the organization receives proper reimbursements for medical services rendered to patients. They are responsible for handling insurance claims, verifying patient coverage, and communicating with insurance companies to resolve any billing or reimbursement-related issues. The Insurance Coordinator also assists patients in understanding their insurance coverage and works closely with the hospital's billing and financial departments.

Key Responsibilities:

1. Insurance Verification:

- Verify patient insurance coverage and benefits before scheduled appointments or procedures.

- Collect and update patient insurance information, ensuring accuracy and completeness.

- Communicate with patients regarding any pre-authorization requirements or documentation needed

for successful insurance claims.

2. Claim Processing and Submission:

- Accurately complete insurance claim forms and submit them to appropriate insurance carriers in a timely manner.

- Review and edit claim submissions to ensure compliance with insurance company requirements, minimizing potential denials.

- Follow up on pending claims, resubmit rejected claims, and appeal denials when necessary.

3. Insurance Follow-Up and Resolution:

- Monitor claim statuses to ensure timely processing and reimbursement.

- Identify and resolve claim payment discrepancies, including denied, underpaid, or rejected claims.

- Collaborate with insurance companies to resolve billing issues, including providing additional

documentation or clarifications as needed.

4. Patient Education and Assistance:

- Educate patients on their insurance coverage, including co-pays, deductibles, and out-of-pocket expenses.

- Assist patients in understanding insurance claim processes and handling any insurance-related inquiries or concerns.

- Provide guidance and support to patients in navigating insurance networks and finding in-network healthcare providers.

5. Collaboration and Documentation:

Job Types: Full-time, Permanent

Pay: ?12,000.00 - ?16,000.00 per month

Benefits:

• Health insurance
• Paid time off
• Provident Fund

Schedule:

• Day shift

Supplemental Pay:

• Performance bonus

Experience:

• total work: 2 years (Required)

Work Location: In person

Application Deadline: 25/11/2024
Expected Start Date: 01/11/2024