Insurance Manager

Company Description

Indiana Hospital & Heart Institute Ltd. is a leading 300-bed facility equipped with state-of-the-art technology and a team of distinguished clinical professionals. The hospital provides comprehensive healthcare across various specialties, supported by full-time consultants and highly trained paramedical staff. It offers world-class services, including 24/7 emergency care, and is home to an advanced laboratory capable of performing a wide range of diagnostic tests in Bio-chemistry, Hematology, Transfusion Medicine, and Microbiology.

• Minimum Experience:5 to 10 years in Hospital Insurance/Corporate Billing/TPA/Claims Management.
• Must have minimum 3 years of experience in a managerial or supervisory role handling an insurance claims team.
• Mandatory: Candidate should have worked in a multispeciality hospital with a capacity of at least 250 beds.
• Experience in dealing with Cashless Insurance, Government Health Schemes , Corporate Tie-ups, and TPAs is essential.
• Proven experience in managing high-volume pre-authorizations, claim submissions, claim settlements, denials, and reconciliation.

• Thorough knowledge of:
• Health Insurance policies and claim processes.
• TPA and insurance company portals.
• Medical terminology, coding, and billing practices.
• NABH documentation and statutory compliance related to insurance claims.