Opening For Sr.Executive -Insurance

Role & responsibilities

1. Insurance Verification:

Verify patient insurance information, including policy details, eligibility and pre-authorization requirements. Ensure the accuracy of insurance information in the hospital's records.

2. Insurance Claims Processing:

Manage the insurance claims process, including timely and accurate submission, documentation and follow-up on claims. Maximize reimbursement for services provided.

3. Billing:

Assist with hospital billing procedures, including patient billing, insurance billing and third-party billing, to ensure that billing practices are accurate and compliant.

4. Claims Follow-Up:

Monitor the status of insurance claims and follow up on unpaid or denied claims. Identify and address any billing errors or issues that may arise.

5. Patient Liaison:

Serve as a point of contact for patients regarding insurance-related inquiries. Assist patients in understanding their coverage, resolving billing concerns and providing information on coverage and billing matters.

6. Insurance Compliance:

Ensure compliance with healthcare insurance regulations, including HIPAA, CMS and other relevant regulatory bodies. Stay updated on changes in insurance regulations and policies.

7. Documentation and Record Keeping:

Maintain accurate records and documentation related to insurance claims, billing and department activities. Keep organized records for auditing and reporting purposes.

8. Coding and Documentation:

Collaborate with medical coding professionals to ensure accurate and compliant coding and documentation for insurance claims.

9. Reimbursement Optimization:

Assist in efforts to maximize insurance reimbursement by identifying underpayments, denials and potential billing errors and take corrective actions.

Preferred candidate profile

Perks and benefits