Responsibilities

• Review and verify patient admission documents, medical reports, and insurance coverage.
• Liaise with consultants, doctors, and clinical teams to ensure proper medical documentation is available for insurance claims.
• Coordinate with insurance companies for pre‑authorization, guarantee letters, and claims approvals.
• Ensure accuracy of charges and billing information in the hospital system before submission.
• Monitor patient length of stay, treatment plans, and approval validity to avoid claim rejections.
• Assist in resolving insurance queries, disputes, and billing discrepancies.
• Prepare and submit required reports to management regarding case status, approvals, and rejections.
• Support the Business Office and Finance Department in ensuring timely and accurate claim submissions.
• Provide guidance and support to patients and families on insurance coverage and claim procedures.
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