Job Description

A Hospital Insurance Manager oversees insurance operations, managing claims, billing, patient inquiries, and staff, ensuring compliance with healthcare regulations and efficient processing with providers to optimize revenue and patient satisfaction. Key duties include claim resolution, staff training, policy development, budgeting, and liaison with insurers and departments, requiring strong analytical, leadership, and knowledge of medical coding/billing. Key Responsibilities:

Claims & Billing Management:

Oversee the processing, denial, and resolution of insurance claims, ensuring accuracy and compliance.

Staff Leadership:

Recruit, train, manage, and set targets for insurance/billing teams, ensuring efficient workflows.

Regulatory Compliance:

Maintain adherence to healthcare laws (like HIPAA) and insurance policies.

Liaison & Communication:

Act as a bridge between patients, hospital staff (doctors, nurses), and insurance companies.

Patient Support:

Handle patient queries about coverage, benefits, and claim statuses.

Reporting & Analysis:

Prepare reports on insurance performance, identify trends, and suggest cost-effective solutions.

Policy & Procedure Development:

Create and implement effective insurance and operational procedures.
Required Skills & Qualifications:

Education:

Bachelor's degree in Healthcare Admin, Business Admin, or similar.

Experience:

Proven experience in hospital insurance, medical billing, or related healthcare administration.

Technical Skills:

Proficiency in EMR/EHR systems, billing software, MS Excel, and database management.

Knowledge:

Strong grasp of medical terminology, coding (ICD/CPT), insurance policies, and healthcare regulations.

Soft Skills:

Excellent problem-solving, communication, organization, leadership, and attention to detail.
Job Types: Full-time, Permanent

Pay: ₹40,000.00 - ₹45,000.00 per month

Benefits:

Health insurance Provident Fund
Work Location: In person