Walk-in | Reimbursement Specialist

Karthika Consulting & Solutions; Bengaluru; On-site; INR 200,000 - 350,000; Full time

Job summary

Karthika Consulting & Solutions is seeking a capable professional to support hospital insurance processes in Bengaluru. The role involves interacting with patients, collecting documents, and coordinating with hospitals and internal teams for approvals.

The candidate should have good listening, analytical, and communication skills, plus the ability to multitask and maintain confidentiality. Prior hospital or insurance exposure is a plus.

Qualifications

• Diploma or Graduation required.
• Good listening and analytical skills essential.
• Excellent interpersonal and communication abilities.

Responsibilities

• Interact with hospital insurance patients and assist with documentation.
• Create WhatsApp groups to share information and updates.
• Coordinate with patients, hospitals, and internal teams for approvals.
• Educate patients about claim deductions and reimbursement processes.
• Gather claim-support documents and coordinate with back-end teams for data transfer.

Skills

Listening skills

Analytical skills

Interpersonal skills

Communication skills

Verbal skills

Problem-solving

Relationship building

Multitasking

Attention to detail

Education

Diploma

Graduation

Job description

Job Duties & Responsibilities

• To interact with hospital insurance patients.


• Create WhatsApp groups to provide/share information.


• Collecting necessary documents from the Patient /Hospital.


• Coordinate with internal medical and Ops team for initial approval.


• Cross-checking the files before sharing with the approval team.


• Educating patients about deduction.


• To create awareness about reimbursement claims. (Pre & Post Hospitalization)


• Collecting claim support documents from the patients/hospitals & coordinating with the back-end team to ensure smooth transfer of data to the TPA/Insurance company.


• Efficiently and effectively handle grievances/issues raised by hospital staff & patients, elevate issues to the team leader, as necessary.


• Follow up and provide Updates to the clients


• Efficiently and effectively handle grievances/issues raised by hospital staff & patients, elevate issues to the team leader, Regional Manager Claims Assistance, Manager Operations, and Business Head as necessary.

Qualifications & Skills

• Any Diploma, Graduation / Under Graduation


• Should have good listening & analytical skills


• Excellent interpersonal & communication skills

Experience

• Worked in a Hospital or Insurance for 6 months to 02 years. (added advantage)

Additional Skills

• Strong verbal skills


• Strong problem-solving skills and enthusiasm for new tasks and challenges


• Relationship-building skills.


• Ability to multitask and prioritize, with a strong work ethic and attention to detail


• Ability to operate with a high level of confidentiality and professionalism
  advantage)