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 efficient 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 professional 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