Job Title: Insurance Claims Specialist
Function: Managing Insurance Desk at Multi Specialty Hospital
Type: Full Time Job
Reports To: Operations Head
Number of openings: 50
Head Office Location: JP Nagar 9th Phase (Kanakapura Main Road) Bengaluru.
Salary: 2 Lakhs 3 Lakhs
We Assist is looking for an innovative and dynamic Claims Specialist who enjoys wearing multiple hats within an organization and will be able to hit the ground running and thrive in a fastpaced environment. With ambitious growth plans in mind We Assist is looking to build a high performance organization by empowering and engaging our people. Because we believe that core of our business is about people.
The person in this role will act as an ambassador for We Assist when interacting with customers (Patients) hospital staff and Insurance claims team at various insurance companies and third party administrators. They will support our daytoday operations at the hospital level with the support of the central operations team of WeAssist and help us continually improve the internal processes of our growing organization. Claims Specialist at We Assist has an important role of providing complete insurance solution with great growth prospects.
Responsibilities and Duties.
Serve as a point of contact for Insurance related inquiries
Create a consistent positive work atmosphere through the communication
Close interaction with respective department at hospital
To interact with hospital insurance patients.
Interact with Hospital Management Doctors Medical and nonmedical staff at the hospital
To create awareness about insurance claims (reimbursement and cashless claims pre & post hospitalization claims etc.)
Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company.
Be available at the assigned hospital for six days a week from 9.30am to 6.30pm
Send the pre auth request and follow up on cashless approval form insurance company.
Efficiently and effectively handle grievance / issue raised by hospital staff & patients escalate issue to the team leader as when necessary.
Followup and Updates to be given to the clients
Required Skills and Experience
Bachelor s Degree or Diploma (or equivalent experience)
Excellent written & spoken English and business communication skills
Should have good analytical skills that helps Planning forecasting & execution
Should be a confident with the ability to build and maintain constant rapport with the business and be handson where required
Positive attitude with strong communication skills and approachable demeanour when working with all levels of staff
Ability to work independently quickly learn organizational structure and demonstrate excellent time management
follow-up,updates,insurance,insurance claims,communication skills,management,communication