Job Description

Welcare Hospital is seeking a dynamic and detail-oriented

Insurance Manager

to lead and oversee the hospital's health insurance operations. The ideal candidate will be responsible for managing insurance claims, liaising with TPAs and insurance providers, and ensuring smooth coordination between the hospital billing team and insurance departments.

Key Responsibilities:

Manage end-to-end

insurance claim processing

, pre-authorizations, approvals, and settlements Coordinate with

TPAs (Third Party Administrators)

, insurance companies, and government health schemes Oversee timely

submission of claims

and ensure minimum rejections or delays Maintain accurate records of

claim status, denials, and follow-ups

Supervise the insurance billing team and ensure adherence to hospital and statutory guidelines Act as the primary point of contact for insurance-related queries from patients and their families Provide regular reports to management on insurance revenue, outstanding claims, and processing timelines

Eligibility Criteria:

Bachelor's degree in any discipline (preferably in Healthcare Administration, Commerce, or related fields)

3-5 years of experience

in hospital insurance operations or TPA coordination Sound knowledge of

cashless claim processing, reimbursement procedures

, and regulatory requirements Strong interpersonal and communication skills Proficiency in hospital information systems (HIS) and insurance portals
Job Type: Full-time

Pay: ?30,000.00 - ?40,000.00 per month

Benefits:

Paid sick time Paid time off
Experience:

Insurance: 3 years (Required)
Work Location: In person