Assistant Executive - Insurance Department

Narayana Nethralaya; Bengaluru; On-site; INR 167,000 - 279,000; Full time

Job summary

Narayana Nethralaya in Bengaluru is seeking a proactive Insurance Desk Executive to coordinate corporate and government scheme processes for mediclaims. You will counsel patients on insurance packages, arrange preauthorisations, and ensure timely approvals, keeping EMR records updated and maintaining patient satisfaction.

The role requires graduate education with 0–1 year of experience, strong communication, and excellent coordination skills to handle inquiries and post-surgery insurance

Qualifications

• Graduation in any field with 0–1 year experience.
• Knowledge of medical insurance and TPA processes is required.
• Strong communication and ability to coordinate with teams.

Responsibilities

• Counsel patients on medical insurance packages and schemes.
• Send preauthorization requests to departments/TPAs.
• Follow up on preauthorization status with corporate contacts.
• Obtain approvals from TPAs and corporates.
• Inform patients about cashless treatment approvals per eligibility.
• Enter approval status in EMR for surgery lists.
• Handle inquiries on insurance procedures, refunds, and government schemes.
• Manage various registers and post-surgery insurance reimbursement processes.

Skills

Strong communication

Customer service

Interpersonal skills

Coordination

Follow-up

EMR handling

Documentation

Time management

Attention to detail

Teamwork

Education

Graduate

Tools

EMR software

Job description

Responsible for attending to corporate clients; and co-ordinating with Government scheme and other Insurance Companies for processing of mediclaims. Responsible for smooth operation of the corporate desk thus ensuring patient satisfaction.

Key Responsibilities:

• Counseling the patients for different packages available for their medical insurance and schemes.
• Sending the preauthorization request to concerned departments/TPA,s
• Pre authorization status follow –up with the concerned corporate
• Obtaining approval from concerned TPA,s and other corporate
• Informing the patients regarding their cashless treatment approval as per their eligibility.
• EMR entry of approval status in the surgery list
• Receiving enquiry calls regarding the Insurance procedure, refund procedure ,Insurance status ,State government and Central government queries
• On the day of surgery obtaining patient’s signature on Authorization letter and Claim From
• Maintain Inward Register, Cheque Register Enhancement Register ,Bill Register, OPD Register,ESI Register
• Post surgery reimbursement procedures of Insurance,State government ,CGHS and Corporate patients
• Scan and uploading the AL in EMR for emergency surgeries
• Admission process at old and new building
• Submitting the bills and relevant document to billing department after signed by the patient
• Attaching the approval and permission letters to the surgery case sheets previous day of surgery
• Post surgery verifying the post operative photos of Yeshasvini and RBSKbeneficiaries
• Online Intimation and Preparing of CGHS/ECHS claim documents
• After surgery/procedure maintaining the data in the system
• Daily bill correspondences with billing department
• Based on the ledger data to follow up for obtaining discharge summary /case summary/investigation reports and final bill from the concerned department
• Sending the email request to concerned distributors to issue the IOL, Injections and drug invoices.
• Filling and scanning of final claim documents
• Filling the bills ,copy of acknowledged annexure and extra documents to the respective file

Skills Required:

• Strong communication and interpersonal skills
• Customer service and patient handling skills
• Good coordination and follow-up abilities
• Knowledge of medical insurance and TPA processes
• Computer proficiency and EMR handling skills
• Documentation and record management skills
• Time management and organizational skills
• Problem-solving and multitasking abilities
• Ability to work under pressure and meet deadlines
• Attention to detail and accuracy
• Professional attitude and teamwork skills

Education Required: Graduate

Experience: 0-1 year

Vacancies: 1