Insurance Claim Processing Manager
1 day ago
About the Company:
CarePal Group is transforming healthcare financing in India by providing cutting-edge solutions that make critical and elective treatments more accessible and affordable.
Job Summary:
The AVP of Operations - Trust & Safety will drive CarePal Group's trust and safety strategy, overseeing hospital coordination, insurance claim processing, and TPA (Third-Party Administrator) operations.
Key Responsibilities:
- Manage relationships with hospital billing departments to ensure seamless service coordination.
- Oversee admission, discharge, and cost verification processes, ensuring adherence to CarePal's pricing agreements.
- Lead efforts to streamline billing accuracy, end-to-end claim processing, optimize reconciliation processes, and enhance the patient experience.
Requirements:
- Bachelor's degree in healthcare management, business administration, or a related field. MBA or equivalent advanced degree preferred.
- 10+ years of experience in Health Insurance, claim processing, with a focus on TPA management, hospital coordination, and billing.
- Demonstrated success in managing healthcare insurance claims, billing verification, and trust and safety protocols.
What We Offer:
- A competitive salary package.
- Opportunities for professional growth and development.
- A dynamic and supportive work environment.
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