Job Description
Prepare and submit insurance claims for hospital services rendered, ensuring accuracy in coding and patient information.
Verify patient insurance coverage and eligibility prior to claim submission.
Collaborate with billing and coding teams to ensure claims meet payer requirements.
Monitor claim submission status and follow up on unprocessed or pending claims.
Respond to queries from insurance providers regarding claim details.
Maintain detailed records of all submitted claims and their statuses.
Stay updated with changes in insurance policies and claim submission protocols.
Quality and Safety
Promoting and maintaining quality in all services and ensure continuous quality improvement measures are in place. Conduct method evaluation/ development as per standard policies and procedures
Complying with all safety and quality control programs and procedures as applicable
Complying with applicable precauti...