Medical Claim Executive
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Job Location:
Monthly Salary:
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Urgent Hiring !!!!
Position: Executive – Medical Claims
Experience: *1–2 years of relevant experience (preferably in a medical or healthcare-related field).
Salary: *20000 - 25000per month
Location: Aluva
Job Summary:
Processing and evaluating medical insurance claims ensuring compliance with policy terms accuracy in billing and timely communication with hospitals insured members and internal teams for the smooth treatment facilitation of our clients.
Key Responsibilities:
* Process and evaluate medical insurance claims ensuring policy compliance and billing accuracy.
* Coordinate with hospitals case managers and insurance companies for treatment approvals and claim processing.
* Handle insurance queries and ensure responses within defined TAT.
* Collect and submit cost estimates and treatment plans to insurers within 24 hours.
* Follow up on claim approvals and ensure timely processing within 24–48 hours.
* Provide regular updates on patient admission procedures discharge and travel arrangements.
* Facilitate discharge coordination between hospitals and insurance teams.
* Update discharge and claim details accurately in CRM and internal systems.
* Submit final invoices to insurance companies for claim settlement.
* Manage escalations support audits maintain reports and ensure compliance with insurance and healthcare guidelines.
*Interested candidates can forward their updated resume to
or
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