20 Aug
|
Muthu Meenakshi Hospitals
|
Pudukkottai
20 Aug
Muthu Meenakshi Hospitals
Pudukkottai
- We are looking for a Head of Hospital Insurance to lead the strategic, operational, and financial management of insurance functions within a hospital or healthcare system.
- In this position, you will lead teams responsible for insurance authorization, eligibility verification, claims coordination, appeals, contract analysis, and payer issue resolution.
- You will establish performance metrics, implement process improvements, and drive accountability across the insurance lifecycle.
Role & responsibilities
- Develop and lead the hospitals insurance strategy across payer operations and reimbursement performance
- Oversee payer contracting, renewals, negotiations, and contract compliance monitoring
- Direct insurance verification, prior authorization, claims coordination, and denial management functions
- Analyze reimbursement trends and identify opportunities to improve net revenue and reduce leakage
- Collaborate with finance, revenue cycle, legal, and clinical leaders on payer-related initiatives
- Monitor regulatory and payer policy changes affecting hospital billing and coverage requirements
- Establish KPIs, dashboards, and reporting standards for insurance operations and payer performance
- Lead escalation and resolution of complex payer disputes, underpayments, and appeals
- Ensure staff training and process consistency across insurance workflows and documentation standards
- Support executive decision-making with data-driven recommendations on payer mix and contract strategy
Preferred candidate profile
- Extensive experience in hospital insurance operations, managed care, or revenue cycle leadership
- Robust knowledge of commercial insurance, Medicare, Medicaid, and hospital reimbursement models
- Proven success in payer negotiations, denial reduction, and reimbursement optimization
- Experience leading cross-functional teams in complex healthcare environments
- Excellent analytical, communication, and stakeholder management skills
- Deep understanding of
📌 Insurance Head (Pudukkottai)
🏢 Muthu Meenakshi Hospitals
📍 Pudukkottai