Insurance Coordinator - Approvals and Submissions

Overview

• Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements
• Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims.
• Acts as a liaison between the organization, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims.
• Reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution.
• Prepares insurance forms and associated correspondence.
• Entertains colleagues’ queries regarding policy coverage.
• Maintains strict confidentiality related to medical records and other data.
• Ensuring coverage of claims, guiding colleagues for correct use age of claim forms, approval papers.
• Coordinating with insurance companies to obtain information on new policies and their coverage, explaining the Table of Benefits to respective departments.
• To take required treatment approvals from insurance providers for patient treatments.
• Always comply with insurance providers requirements and provider manuals.
• To coordinate and co-operate with colleagues and other related departments for smooth running and timely submission of claims (on or before 15th of following Month) to insurance providers.
• Performs any other duties as directed by his/her supervisor.