Insurance Executive for Narayana Health, Cayman Islands

 Narayana Health is headquartered in Bengaluru, India, and operates a network of hospitals across the country, with a particularly strong presence in the southern state of Karnataka and eastern India, as well as an emerging presence in northern, western and central India. We believe that the Narayana Health brand is strongly associated with our mission to deliver high-quality, affordable healthcare services to the broader population by leveraging our economies of scale, skilled doctors, and an efficient business model.

In aggregate, our centres provide advanced levels of care in over 30 specialties, including Cardiology and Cardiac Surgery, Cancer Care, Neurology and Neurosurgery, Orthopaedics, Nephrology and Urology, and Gastroenterology

Roles and Responsibilities

• Performing all Billing IP/OP related activities in the unit.
• Monitoring of insurance claims processing and dispatch and following up pending cases.
• Coordinating between the doctors and Insurance companies.
• Handling insurance queries of the clients and patients on a timely manner.
• Communicate timely updates and status to management as needed.
• Follow up on all rejected and short paid claims from the payers and ensure that there are minimal of disallowances.
• Assist in the development of Policy and procedures which involves the insurance department.
• Ensure that all queries are addressed to the insurance companies within 2 days of receipt of notice.
• Providing CPT codes for all services rendered at the hospital.
• Following strictly the SOP designed for the insurance department.
• Ensuring no services to credit patients are rendered at the hospital without pre certification and approval by the insurance companies.
• Get pre certification from insurance companies within stipulated time.
• Any other duties as assigned by Head of Finance.
  

Desired Candidate Profile

• B.Com or equivalent degree, CPC.
• Minimum 3 or more years of experience in relevant field and/or Healthcare experience is added advantage.
• Must be computer proficient and have strong understanding of medical terminology. Must have working knowledge of CPT codes.
• Ability to comprehend verbal instructions given by the supervisor or head of the department.
• To think independently and exercise one’s own judgment in determining actions during emergencies and challenging situations.
• Must know the usage of MS Excel.
• Good English spoken & written, Spanish language advantageous/desirable, but not essential

Email: ramamoorthy.veluchamy@narayanahealth.org, raghavendra.h01@narayanahealth.org