Insurance Coordinator

Dr. Kamakshi Memorial Hospital Pvt Ltd; Chennai; On-site; INR 320,000 - 520,000; Full time

Job summary

Dr. Kamakshi Memorial Hospital Pvt Ltd is seeking an Insurance Coordinator to manage CGHS, ECHS, and Insurance/TPA cases. You will verify eligibility, gather documents, obtain pre-authorizations, and coordinate with clinical and admin teams to ensure compliant claims processing.

Ideal candidates have 1–3 years of CGHS experience, familiarity with insurance guidelines, and strong coordination skills. Freshers with healthcare knowledge may be considered, with a focus on accurate billing and timely

Qualifications

• 1–3 years of CGHS/ECHS/TPA experience preferred.
• Experience with hospital billing processes and government schemes.
• Freshers with healthcare knowledge may be considered.

Responsibilities

• Handle end-to-end processing of CGHS, ECHS, and Insurance/TPA cases.
• Verify patient eligibility, insurance coverage, and required documents.
• Obtain pre-authorizations and approvals from insurers and government schemes.
• Coordinate with consultants, nursing, billing, MRD and other departments to collect clinical documents.
• Prepare and submit claim documents within stipulated timelines.
• Ensure accurate billing and documentation per CGHS/Insurance guidelines.
• Follow up with insurers for claim approvals, queries, and settlements.
• Maintain records of cashless approvals, reimbursements, and claim status.
• Prepare MIS reports daily, weekly, monthly related to insurance claims.
• Support audits related to insurance and government schemes.

Skills

Insurance processing

CGHS

ECHS

TPA

Hospital billing

Education

Any UG

Job description

Post Date:

2026-08-18 16:02:49

Designation:

Insurance Coordinator

No of Opening:

1

Applied :

12

Post Status:

2 months ago

Department

Insurance

Insurance Coordinator

Total Years Experience

1 - 3Years

Any

Job Location

Any UG

Job Description

Key ResponsibilitiesHandle the end-to-end processing of CGHS, ECHS, and Insurance/TPA cases.Verify patient eligibility, insurance coverage, and required documents.Obtain pre-authorizations and approvals from insurance companies and government health schemes.Coordinate with consultants, nursing, billing, MRD, and other departments to collect necessary clinical documents.Prepare and submit claim documents within the stipulated timelines.Ensure accurate billing and documentation as per CGHS/Insurance guidelines.Follow up with insurance companies and TPAs for claim approvals, queries, and settlements.Resolve claim rejections, deficiencies, and pending cases.Maintain proper records of cashless approvals, reimbursements, and claim status.Coordinate with patients and attendants regarding insurance procedures and required documentation.Ensure compliance with CGHS, TPA, IRDAI, and hospital policies.Prepare daily, weekly, and monthly MIS reports related to insurance claims.Maintain confidentiality of patient information and claim records.Support internal and external audits related to insurance and government schemes.Perform any other duties assigned by the department head.

• 1–3 years of experience in CGHS
• ECHS
• TPA
• Insurance Processing
• or Hospital Billing. Experience in a multispecialty or tertiary care hospital is preferred. Freshers with relevant healthcare knowledge may also be considered.