Insurance Executive

Role & responsibilities

• Must have a clear understanding of the Hospital Vision and Mission.
• Oversees administration of medical services to Insurance and Corporate patients or/and customers of the Hospital.
• Liaises with insurance companies regarding eligibility, payments, reconciliation and
• other requirements.
• Reviews insurance claims to ensure accuracy as per agreement, prior to dispatch to respective insurance companies.
• Proactively reports critical issues to Management and submits monthly aging and other

reports to line manager and Accounts.

• Designs, updates and implements policies, procedures and protocols to ensure efficiency and accuracy in insurance operations.
• Monitors insurance discounts, rejections and submits periodic reports to the Management for review.
• Ensures that the insurance schemes are up to date on the system.
• Attending and organizing the insurance presentation internally and externally.
• Manage and process insurance claims and billing.
• Ensure compliance with insurance regulations and policies.
• Coordinate with insurance providers to resolve discrepancies and denials.
• Provide guidance and support to hospital staff regarding insurance procedures.
• Maintain and update patient insurance information accurately.
• Prepare and analyze insurance reports.
• Educate patients on their insurance coverage and benefits.
• Handle patient inquiries related to insurance claims and billing.