28 Oct
|
Dreamwings Technology
|
Madurai
28 Oct
Dreamwings Technology
Madurai
Job Role: Insurance Manager – Multi-Speciality Hospital
Location: Madurai, Tamil Nadu
Experience: 3–5 Years in Hospital Insurance
Qualification: Any Bachelor’s Degree
Job Description
We are looking for an experienced and dedicated Insurance Manager to manage hospital insurance operations, coordinate with insurance companies and Third-Party Administrators (TPAs), and ensure smooth processing of patient insurance claims in a multi-speciality hospital.
Key Responsibilities
Manage day-to-day hospital insurance operations and patient insurance services.
Coordinate with insurance companies, TPAs, and corporate clients for cashless treatment approvals and claim settlements.
Handle pre-authorisation requests, medical documentation, claim submission, and follow-ups.
Ensure timely processing of cashless and reimbursement claims.
Monitor pending claims, rejected claims, deductions, and outstanding insurance payments.
Coordinate with doctors, billing, medical records, and accounts teams to resolve insurance-related queries.
Ensure accurate documentation and compliance with insurance company and TPA guidelines.
Identify claim discrepancies and take necessary action to minimise claim rejections and revenue losses.
Maintain insurance records, prepare reports, and monitor claim settlement status.
Support the hospital team in improving insurance processes and patient satisfaction.
Required Skills
3–5 years of relevant experience in hospital insurance operations.
Positive knowledge of cashless insurance, TPA coordination, pre-authorisation, and claim settlement procedures.
Experience in handling health insurance claims in a multi-speciality hospital.
Strong communication, coordination, and problem-solving skills.
Good knowledge of hospital billing, medical documentation, and insurance processes.
Ability to manage multiple claims and meet processing timelines.
Pay: ₹15,000.00 - ₹30,000.00 per month
Work Location: In person
📌 Insurance Manager (Madurai)
🏢 Dreamwings Technology
📍 Madurai