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).

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 n

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