Insurance Head

22 hours ago

Chennai, Tamil Nadu, India Mehta Hospital Full time ₹ 1,04,000 - ₹ 1,30,878 per year

Role & responsibilities

  • Develop and execute insurance/TPA strategy aligned with hospital growth.
  • Drive empanelment with new insurers and negotiate contracts/tariffs.
  • Oversee end-to-end operations: pre-authorizations, approvals, claims submission, and reimbursements.
  • Reduce claim denials and ensure timely collections.
  • Lead and mentor the insurance/TPA team; set KPIs and monitor performance.
  • Build and maintain strong relationships with insurance companies, TPAs, and brokers.
  • Ensure accurate documentation, compliance with regulations, and audit readiness.
  • Monitor financial performance, receivables, and revenue leakage.
  • Collaborate with internal teams (billing, finance, operations, IT, clinical) for smooth functioning.
  • Enhance patient experience by simplifying insurance processes and communication.
  • Leverage technology and MIS tools to improve efficiency and reporting.

Preferred candidate profile

  • Bachelors degree in Hospital Administration, Business, Finance, or related field (Masters preferred).
  • 8 to 12 years of experience in healthcare insurance/TPA operations, with 35 years in a senior leadership role.
  • Strong knowledge of medical billing, insurance processes, pre-authorizations, and policy terms.
  • Excellent negotiation, communication, and stakeholder management skills.
  • Proficiency in data analysis, MIS reporting, and insurance claim systems.

Interested can reach us at /

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