Insurance Coordinator (Hyderabad)

Insurance Coordinator (Hyderabad)

Job description:
Job Summary
As ANC currently operates without direct insurance tie-ups, this role is twofold:
Network Growth: You will actively visit and negotiate with TPA and Insurance companies to secure official empanelment (cashless tie-ups).
Patient Support: You will manage the entire reimbursement documentation process for patients, ensuring they have everything required to successfully claim their medical expenses from their respective insurers post-discharge. If required applying for reimbursement on behalf of the patients
Key Responsibilities:
1. Empanelment & Networking (Primary Objective):
Business Development: Actively visit TPA offices (e.g., Medi Assist, Heritage, Raksha) and Insurance companies to initiate the empanelment process.
Documentation for Tie-ups: Prepare and submit the "Hospital Empanelment Form" along with required licenses
Negotiation: Negotiate tariff rates and Service Level Agreements (SLAs) that are favorable to the hospital’s revenue goals.
2. Reimbursement Management (Patient Support):
Proactive Documentation: Since we are "Non-Cashless," you will take full ownership of the patient’s reimbursement file. This includes:
Ensuring the Discharge Summary is clinically detailed to prevent insurer queries.
Compiling all original reports
Correctly filling out Part-A and Part-B of the insurance claim forms on behalf of the patient.
Claim Counseling: Explain to patients exactly how the reimbursement process works, the expected timelines,



and what "non-medical" expenses they should be aware of.
3. Knowledge & Compliance:
Market Intelligence: Maintain an updated database of the reimbursement requirements for all major insurers (Star Health, Niva Bupa, HDFC Ergo, etc.) as processes vary between companies.
Query Resolution: If a patient’s claim is contested, you will act as the hospital's representative to provide the necessary medical justifications to the insurance company.
Required Skills & Qualifications:
Experience: 3–5 years specifically in TPA Empanelment and Insurance Sales/Operations within the Hyderabad healthcare market.
Connections: Existing relationships with TPA network managers in Hyderabad is a significant advantage.
Communication: Exceptional persuasion skills. Must be fluent in Telugu and English to navigate both local patient needs and corporate insurance meetings.
Technical Knowledge: Deep understanding of why claims get rejected and how to "bulletproof" a reimbursement file.
Performance Metrics (KPIs):
Number of current TPA/Insurance tie-ups secured per quarter.
Percentage of patient claims successfully settled (Reimbursement success rate).
Reduction in patient grievances regarding insurance documentation.

Hope you have read the complete job description: If you have experience with processing Health Insurance reimbursements, Claims and Executing Agreements with TPA's and Insrances, whatsapp resume on (phone hidden)

📌 Insurance Coordinator (Hyderabad)
🏢 Asha Neuromodulation Clinics
📍 Hyderabad