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Medical Claims and Operations Coordinator
2 weeks ago
As a Healthcare Relationship Specialist at Navi, you will play a critical role in developing and maintaining relationships with hospitals and healthcare providers. Your key responsibilities will include hospital empanelment, negotiating with hospitals for the best rates and discounts, renewal of MOU with empaneled hospitals, regular visits to the hospitals, and maintaining good relations with the network hospitals. You will also be responsible for analyzing data to identify trends and areas for improvement, implementing process improvements, and ensuring compliance with regulatory requirements. To succeed in this role, you should have a good understanding of insurance claim processing, hospital admission processes, and medical ailments. Excellent communication skills, including writing emails and presentations, are essential for this role. Knowledge of health regulations and IRDAI circulars is an added advantage. Graduation in Science background with knowledge of basic Medical Ailments is preferred. Experience in Hospital Networking will also be beneficial.
