We are seeking an experienced Insurance Head to lead the insurance and TPA operations of a hospital in Piduguralla. The ideal candidate should have at least 7 years of relevant experience in hospital insurance operations, with strong knowledge of cashless processing, pre-authorizations, claim submissions, settlements, and insurance coordination. The candidate will be responsible for managing the insurance team and ensuring productive claim processing and revenue management.

Qualifications
Bachelor's degree in Hospital Administration, Healthcare Management, Business Administration, or a related field preferred.
Minimum 7 years of relevant experience in hospital insurance or TPA operations.
Strong knowledge of health insurance procedures, cashless services, and reimbursement processes.
Experience handling pre-authorizations, claim submissions, settlements, and claim queries.
Understanding of hospital billing, medical documentation, and insurance policies.
Experience managing insurance teams and coordinating with insurance companies and TPAs.
Positive communication, negotiation, leadership, and problem-solving skills.
Ability to manage daily operations and meet departmental targets.





Responsibilities
Manage and oversee the hospital's insurance and TPA operations.
Supervise the complete insurance process, including pre-authorization, cashless approvals, claim submission, and settlement.
Coordinate with insurance companies and TPAs to resolve claim-related queries and discrepancies.
Monitor pending claims, outstanding amounts, deductions, and rejection cases.
Ensure accurate and timely submission of insurance documentation.
Coordinate with billing, medical records, finance, and clinical departments.
Guide and monitor the insurance team to ensure efficient operations.
Identify reasons for claim rejections and implement corrective measures.
Maintain qualified relationships with insurance providers and corporate clients.
Prepare regular reports on claim status, collections, settlements, and departmental performance.
Ensure compliance with hospital policies and applicable insurance procedures.

Pay: ₹35,000.00 - ₹80,000.00 per month

Benefits:
Leave encashment
Paid sick time
Provident Fund

Work Location: In person

📌 Insurance Head Piduguralla
🏢 ELITE HIRE TECHNOLOGIES
📍 Piduguralla