HR at GA Digital Solutions
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Insurance Cluster Manager - Claims (1-5 yrs)
Job Description :
Medical Insurance Claim Assistance Department at We Assist has an important role of managing the Hospital Relations, Billing Related Queries, Client Relationship Management to ensure that the We Assist continues to be a competitive service provider in the Insure Tech, Cashless and Reimbursement Claim Settlement and the related industry. With ambitious growth plans in mind, We Assist is looking to offer cutting edge solutions to both patients and the partner hospitals by leveraging technology and with unique product offerings.
Job Roles & Responsibilities :
- To interact with hospital staff and patients.
- Collecting necessary documents from Patient.
- Coordinate with internal medical and financial team for initial approval.
- Making sure all the documents are available before sharing it with approval team.
- Educating patient about deduction (Co-Pay, NME)
- To create awareness about reimbursements claims. (Pre, Post & Hospitalization)
- Collect claim supporting documents from the patient or patient party/hospital staff & coordinate with back-end team to ensure smooth transfer of data to the TPS/Insurance Company.
- Be available at the assigned hospital for six days in a week b/w 10 am to 7 pm.
- Efficiently and effectively handing grievance/issue raised by hospital staff & patients, escalating issue to the team leader, as necessary.
- Follow-up and Updates to be given to the clients.
Qualifications & Skills :
- Any Diploma, Graduation/Under Graduation.
- 6 months-2 yrs. of experience
- Should have good analytical skills
- Excellent interpersonal & communication skills
- Open to travel and to be placed at different Hospital locations.
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