Hospital Empanelment

1 week ago


Anna Nagar Chennai Tamil Nadu, India Link-K Insurance TPA P Ltd Full time

**Position**:Assistant Manager

**Industry**: Health Insurance/TPA

**Preference**:Male / Immediate Joiner

**Roles & Responsibilities of Hospital Network Management
- Asst Manager**:

- Identify and empanel hospitals, clinics, diagnostic centers, and other healthcare providers to join the network.
- Maintain hospital network master with clean data and appropriately flag suspected hospitals
- Evaluate the quality of healthcare providers based on accreditation, facilities, and medical staff credentials.
- Negotiate contracts, package rates and discounts with healthcare providers to ensure competitive pricing while maintaining quality standards.
- Build and maintain strong relationships with hospital administrators, medical directors, and key stakeholders to facilitate seamless cashless claims management
- Coordinate and help cashless team in the events of disputes at the time of admission/discharge of members regarding billing by hospital
- Address and resolve any issues or concerns raised by network providers promptly and professionally.
- Ensure that the network hospitals comply with relevant state & central govt registrations and accreditation requirements.
- Stay updated with changes in healthcare policies and regulations that may impact the network.
- Analyze network performance data and generate reports for management to assess the network's effectiveness and make informed decisions.
- Close coordination with insurers on the network hospital management including empaneling hospitals as per the requirements of insurers.
- Managing the team working for network hospital management across locations.
- Constant monitoring of hospitals claims outstanding and coordinate with respective internal stake holders for payment of claims
- Close coordination with claims team on fraud and abuse control and initiation of appropriate action against hospitals involved in malpractices.

**Job Types**: Full-time, Permanent

Pay: ₹35,000.00 - ₹40,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift

**Experience**:

- Hospital Empanelment: 1 year (required)

Work Location: In person


  • Provider Network

    6 days ago


    Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time

    Greetings From Link K Insurance TPA Pvt Ltd We are Hiring Senior Executive Provider Network Management (Hospital Empanelment ) **Year Of Experience** : 2 to 5 Years ( Any Health Insurance & TPA Insurance ) **Work Location : Chennai** **Qualification **:Any Degree **Roles & Responsibilities**: - Identify and empanel hospitals, clinics, diagnostic...

  • Provider Network

    18 hours ago


    Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time

    We are Hiring **Assistant Manager** for our **Provider Network (**Hospital Empanelment**)* Team at our**Chennai Corporate office*. **Year Of Experience**: 3 to 8 Years **Qualification**: Any UG Degree **Industry**: Health Insurance / TPA **Roles and Responsibility** - Data entry /modification and audit of hospital master - Assisting the Provider network...

  • Provider Network

    5 days ago


    Anna Nagar, Chennai, Tamil Nadu, India Link-K Insurance TPA Private Limited Full time

    **Greeting From Link-K Insurance TPA Pvt Ltd** We are hiring **Provider Network Management**at our **Chennai Corporate Office.** **Job Role**:Provider Network Management **Industry**:TPA/Health Insurance **Location**:Chennai, Tamil Nadu **Experience**: 5 Year to 8 Years **Qualification**:Graduate in any discipline **Roles & Responsibilities**: -...


  • Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time

    We are hiring **Provider Network** ( hospital enplanement ) for our Provider Network management team at our **Chennai Corporate office.** **Designation : Assistant Manager** **Year Of Experience : 5 to 8 Years** **Qualification : Any Degree** **Location : Anna Nagar, Chennai.** **Industry : only TPA and Health Insurance (Not from Hospital...

  • Provider Network

    6 days ago


    Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time

    **Greetings From Link K Insurance TPA** We are hiring **Provider Network** ( hospital enplanement ) for our Provider Network management team at our **Chennai Corporate office.** **Designation : Assistant Manager** **Year Of Experience : 5 to 8 Years** **Qualification : Any Degree** **Location : Anna Nagar, Chennai.** **Industry : only TPA and Health...

  • Provider Network

    18 hours ago


    Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time

    We are hiring **Provider Network** ( hospital enplanement ) for our Provider Network management team at our **Chennai Corporate office.** **Designation : Assistant Manager** **Year Of Experience : 4 to 8 Years** **Qualification : Any Degree** **Industry : only TPA and Health Insurance (Not from Hospital background)** **Roles and Responsibility** - Data...

  • Provider Network

    3 days ago


    Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time

    Link - K Insurance TPA We are hiring **Provider Network** ( hospital enplanement ) for our Provider Network management team at our **Chennai Corporate office.** **Designation : Assistant Manager** **Year Of Experience : 5 to 8 Years** **Qualification : Any Degree** **Location : Anna Nagar, Chennai.** **Industry : only TPA and Health Insurance (Not from...

  • Provider Network

    3 days ago


    Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time

    MPR NO: LMPR0015 **Greeting From Link K Insurance TPA Pvt Ltd** We are hiring **Senior Executive ** for our PNT (Hospital Enplanement) **Team **at our **Chennai Corporate office.** **Job Role: Senior Executive** **Industry: TPA Health Insurance** **Location: Anna Nagar, Chennai** **Experience: 1 to 3 Years** **Qualification: Any Degree** **Roles and...

  • Provider Network

    18 hours ago


    Vasanth Nagar, Bengaluru, Karnataka, India Link K Insurance TPA Pvt Ltd Full time

    We are Hiring **Assistant Manager** for our **Provider Network (**Hospital Empanelment**)* Team at our Bangalore Brach office**office*. **Year Of Experience**: 3 to 8 Years **Qualification**: Any UG Degree **Industry**: Health Insurance / TPA **Roles and Responsibility** - Hospital visits for empanelment - Coordination for agreement and rate list -...


  • Vasanth Nagar, Bengaluru, Karnataka, India Link K Insurance TPA Pvt Ltd Full time

    Greetings From **Link K Insurance TPA Pvt** We are hiring **Provider Network** (Hospital Empanelment) for our Bangalore branch office. **Years Of experience** : 2 to 5 Years **Qualification**: Any Degree Must **Industry**: TPA and Insurance Company Must **Roles &** **Responsibility** - Hospital visits for empanelment - Coordination for agreement and...