Manager – Insurance - At A Hospital

Skills:

Health insurance claims management, Medicare and Medicaid regulations, Electronic health records (EHR) systems, Patient financial services, Insurance verification processes, TPA, IRDA,

Manager - Insurance

• Location: Muddenahalli, Chikkaballapur, Karnataka
• Experience: Minimum 5 years in health insurance, TPA management, or hospital billing.
• Employment Type: Full-time | 6-day workweek

Why Join Us

At SMSIMSR, we provide completely free healthcare to patients, and as the Manager - Insurance, you will play a critical role in ensuring smooth coordination with insurance companies, government health schemes, and regulatory bodies. You will be responsible for overseeing insurance claims, approvals, patient eligibility assessments, and compliance with medical reimbursement policies.

Key Responsibilities

• Manage and oversee insurance processes, including cashless treatment approvals and reimbursements.
• Work closely with TPAs, insurance companies, and government healthcare schemes (Ayushman Bharat, ESI, CGHS, etc.) for claim settlements.
• Ensure accurate billing and documentation for insured patients.
• Monitor and track claim submissions, approvals, and rejections, ensuring quick resolution of disputes.
• Train hospital staff and doctors on insurance policies, procedures, and medical coding compliance.
• Handle pre-authorization requests and ensure timely processing of insurance approvals.
• Maintain strict compliance with IRDAI regulations and hospital accreditation guidelines.
• Identify and resolve insurance claim discrepancies, delays, or denials.
• Develop and maintain strong relationships with insurers, TPAs, and government agencies.
• Implement fraud detection measures to prevent false claims and misuse of insurance benefits.
  What We Offer
• Leadership role in an innovative healthcare setting.
• Opportunity to work with global healthcare teams & government health schemes.
• A patient-first, ethical medical environment.

Housing And Other Benefits Discussed During Hiring.

If you have expertise in medical insurance management and want to be part of a mission-driven hospital, apply today!