Hospital Relatoinshio manager

2 weeks ago

Mumbai, India Star Health Insurance Full time

Role & responsibilities:

Outline the day-to-day responsibilities for this role.

JOB DESCRIPTION HOSPITAL RELATIONS MANAGER

Job Title: Assistant Manager/Deputy Manager, Hospital Relations Manager

Department: Hospital Relations

Location: Multiple (within Maharashtra) – Nagpur, Solapur, Satara, Kolhapur, Pune, Aurangabad, Nashik, Ahmednagar

Job Type: Full-Time

Job Summary:

The Hospital Relations Manager will be responsible for managing and optimizing the relationship between the organization and hospital partners. This role involves overseeing pricing strategies, negotiating claims, resolving pending issues, and ensuring smooth coordination with internal stakeholders. The position also requires meticulous documentation related to training, meetings with internal and external stakeholders and updates to facilitate effective communication and decision-making.

Key Responsibilities:

  1. Hospital Visit Management:

  2. Conduct regular visits to hospital partners to review and address pricing structures, contract terms, and service quality.

  3. Analyze and assess hospital billing and pricing strategies to ensure alignment with organizational objectives.

  4. Claims Negotiation:

  5. Lead negotiations with hospital partners regarding claims and reimbursement issues to ensure favorable outcomes for the organization.

  6. Work closely with the internal claims team to resolve discrepancies and expedite claim resolutions.

  7. Pending Issues and Concerns:

  8. Identify, track, and resolve pending issues and concerns related to hospital partnerships, including billing disputes, service quality, and contractual obligations.

  9. Act as a liaison between the hospital and internal teams to address and mitigate concerns promptly.

  10. Coordination with Internal Stakeholders:

  11. Collaborate with internal departments to ensure alignment on hospital-related activities and strategies.

  12. Facilitate effective communication and coordination between internal teams to address issues and implement solutions.

  13. Documentation and Reporting:

  14. Prepare and maintain comprehensive documentation of hospital visits, pricing agreements, claims negotiations, and issue resolutions.

  15. Document and update sales meetings, including key takeaways, action items, and progress reports.

  16. Sales Meeting Coordination:

  17. Organize and lead sales meetings to discuss hospital partnerships.

  18. Provide regular updates and reports to sales teams and management on hospital-related activities and performance.

Qualifications:

  • Bachelor's degree in Business Administration, Healthcare Management, Doctor
  • Minimum of 3 years of experience in hospital relations, healthcare finance, or a similar role.
  • Strong negotiation skills with a proven track record of successful claims resolution.
  • Excellent communication and interpersonal skills to effectively interact with hospital partners and internal teams.
  • Proficiency in documentation management.
  • Ability to handle complex issues and provide strategic solutions in a fast-paced environment.

Preferred Skills:

  • Experience with hospital billing systems and healthcare reimbursement processes.
  • Knowledge of insurance industry regulations and compliance requirements.

Working Conditions:

  • Occasional travel to hospital sites for visits and meetings.
  • Flexibility to work outside regular office hours as needed for urgent issues or meetings.

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