Continental Hospitals | Internal Auditor

4 days ago


Hyderabad, India Continental Hospitals Full time
About Continental Hospitals:Continental Hospitals is

India’s first LEED-qualified super-specialty hospital , offering world-class healthcare services with a commitment to

quality patient care . With

800 beds

and over

60 specialties , we are a

Joint Commission International (JCI) accredited tertiary care facility

spanning across

18 floors (1.3 million sq. ft) . Built to international standards, we aim to

redefine healthcare in India

by delivering excellence with

integrity, transparency , and

evidence-based practices .Job Title:

Medical Insurance ManagerLocation:

(Specify Location)We are looking for a highly skilled

Medical Insurance Manager

to join our dynamic team at

Continental Hospitals . The ideal candidate will have an

M.Com/MBA background

with a strong understanding of

medical insurance processes ,

Third Party Administrators (TPA) , and

medical protocols . If you possess

excellent communication skills

and have the ability to simplify complex medical insurance information, we encourage you to apply.Key Responsibilities:Claims Review & Management : Ensure the

accuracy ,

completeness , and adherence of

medical insurance claims

to policies and guidelines.TPA Coordination : Collaborate with

Third Party Administrators (TPAs)

for

smooth claim processing

and resolve any issues promptly.Patient Communication : Counsel and explain

insurance coverage ,

claim processes , and address any

patient queries

regarding treatment and claims.Claims Dispute Resolution : Resolve

disputes

related to claims, ensuring

clear

and

timely communication

with both patients and insurance providers.Documentation & Reporting : Maintain

accurate records

of claims, queries, resolutions, and provide

management

with regular updates on

claim status

and related issues.Collaboration : Work closely with

healthcare providers ,

insurance companies , and

internal teams

to streamline claims handling and ensure

efficient operations .Training & Guidance : Provide

training

to staff on

insurance processes

and best practices for

patient interaction .Qualifications & Experience:Educational Qualification :

M.Com

or

MBA , preferably with a focus in

Finance

or

Insurance .Experience :

Minimum 6 years

of experience in

medical insurance ,

claim management , or working with

Third Party Administrators (TPAs) .Background : Strong background in reviewing

insurance claims

and managing

patient-related queries .Skills & Competencies:Excellent communication

and

interpersonal skills

to effectively engage with both

patients

and

insurance providers .Strong understanding of

insurance claims processes

with the ability to explain complex procedures clearly to

patients .Ability to manage

multiple tasks effectively

and work

under pressure .Proficiency in medical terminology

and knowledge of

healthcare procedures .Strong

problem-solving abilities , with keen

attention to detail .Empathetic ,

patient-focused approach

to communication and interaction.Personal Attributes:Strong

problem-solving

skills and

attention to detail .Ability to handle

sensitive information

with confidentiality and discretion.Empathetic

and

patient-focused

approach to communication.Why Join Continental Hospitals?As a leader in

healthcare innovation

and

patient care , we offer an exciting and

collaborative environment

where you can make a meaningful impact. If you're passionate about providing

exceptional service

and contributing to our commitment to

excellence , we would love to hear from you.Apply Now

and be part of the future of

healthcare at Continental Hospitals .



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    Continental Hospitals, Gachibowli, Hyderabad: Continental Hospital is a JCI and NABH accredited facility offering multi-specialty, tertiary, and quaternary care services. With 585 beds and more than 50 specialties, the healthcare institution is spread across 18 floors (1.4 million sq. ft), with 600 capacity car parking, 36 customized elevators, 2...


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    Continental Hospitals is India’s first LEED qualified super specialty hospital. With 800 beds and more than 60 specialties, the healthcare institution is a Joint Commission International (JCI) accredited Tertiary care facility, spread across 18 floors (1.3 million sq. ft). Continental Hospitals is built on international standards redefine healthcare in...


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