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Shree Balaji Employment Services Pvt. Ltd

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Insurance Operations Coordinator

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Description

We are seeking an Insurance Operations Coordinator to join our team in the Delhi-NCR region. The ideal candidate will play a crucial role in managing and coordinating insurance operations, particularly in the context of hospital billing and claims processing. This position requires a detail-oriented individual who can effectively liaise between hospitals, insurance providers, and third-party administrators (TPAs) to ensure smooth operations and timely processing of claims. Key Responsibilities: - Oversee the hospital billing process, ensuring accuracy and compliance with insurance policies. - Manage claims processing, including the submission of claims to insurance companies and follow-up on outstanding claims. - Act as a liaison between hospitals and insurance providers to resolve any discrepancies or issues related to billing and claims. - Collaborate with TPAs to facilitate efficient claims management and ensure adherence to service level agreements. - Maintain accurate records of all transactions and communications related to insurance operations. - Provide support and guidance to hospital staff regarding insurance policies and procedures. Required Skills: - Strong understanding of insurance operations, particularly in a hospital setting. - Experience with hospital billing and claims processing. - Familiarity with the role of third-party administrators (TPAs) in the insurance process. - Excellent communication and interpersonal skills to effectively interact with various stakeholders. - Detail-oriented with strong organizational skills to manage multiple tasks efficiently. If you are passionate about improving insurance operations and have the necessary skills to excel in this role, we encourage you to apply and join our dynamic team.
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