Technical

• Prepare and submit insurance claims for hospital services rendered ensuring accuracy in coding and patient information.
• Verify patient insurance coverage and eligibility prior to claim submission.
• Collaborate with billing and coding teams to ensure claims meet payer requirements.
• Monitor claim submission status and follow up on unprocessed or pending claims.
• Respond to queries from insurance providers regarding claim details.
• Maintain detailed records of all submitted claims and their statuses.
• Stay updated with changes in insurance policies and claim submission protocols.

Quality and Safety

• Promote and maintain quality in all services and ensure continuous quality improvement measures are in place.
• Conduct method evaluation and development as per standard policies and procedures.
• Comply with safety and quality control programs and procedures.
• Imple...