Insurance Co-ordinator - IP Billing

The Insurance Co-ordinator - IP Billing will manage insurance documentation, IP billing coordination, cashless approvals, claim follow-up, pre-authorization support, discharge billing coordination, and patient insurance assistance at Gleneagles BGS Hospital, Bengaluru. This requires BDS or BAMS qualification with 5–8 years of experience in insurance, TPA, or IP billing coordination.

Roles & Responsibilities

• Handle TPA, insurance, cashless, mediclaim, corporate, and IP billing documentation.
• Verify patient details, policy documents, proof, admission notes, and eligibility requirements.
• Coordinate pre-authorization, enhancement, query reply, and final approval process.
• Follow up with insurance companies, TPA portals, doctors, billing, MRD, and patients.
• Maintain insurance files, approval records, claim trackers, and daily status reports.
• Coordinate discharge billing and final claim approval to avoid patient delays.
• Explain insurance process, approval status, and payment responsibility to patients politely.
• Track pending approvals, claim queries, denials, and documentation gaps.
• Coordinate with billing, nursing, consultants, accounts, MRD, and front office teams.
• Ensure claim documents are complete, accurate, and submitted on time.
• Maintain confidentiality of patient, insurance, and financial information.
• Provide smooth and timely insurance desk support.