
Hospital Insurance Manager
4 days ago
Key Responsibilities:
- Lead the process of insurance empanelment, including application, documentation, and site visits.
- Develop and maintain strong, collaborative relationships with key personnel at TPA and insurance companies.
- Act as the primary point of contact for all insurance-related matters.
- Proactively address any issues or concerns raised by TPAs or insurance providers.
- Negotiate contracts to secure favorable pricing agreements for hospital services.
- Oversee the insurance billing and collection process to ensure timely submission of claims.
- Monitor outstanding insurance receivables and proactively follow up for timely payments.
Required Skills and Qualifications:
- Bachelor's degree in business administration, healthcare management, or a related field.
- 10+ years of expertise in managing TPA and insurance relations, preferably in a hospital setting.
- Strong leadership ability, negotiation skills, and analytical problem-solving abilities.
- Excellent communication, interpersonal, and presentation skills.
Insurance Empanelment Benefits:
- Maximize revenue through strategic empanelment and negotiation strategies.
- Expand the hospital's network through targeted marketing efforts.
- Ensure seamless execution of processes and minimize revenue leakage.
Other Key Aspects:
- Staying updated on industry best practices and regulatory changes.
- Providing regular reports on insurance empanelment status, collection performance, and key performance indicators.
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