Senior Manager - Insurance Empanelment - Healthcare

Job Title - Senior Manager - Insurance empanelment

Function - Apollo Spectra - Operations

Designation - Senior Manager

Reporting Relationship - COO - Apollo Spectra

CTC - Market Driven + Company Benefits; Commensurate with the candidate's experience

Work location - Hyderabad

Position Type - Permanent

Gender - Male/Female

Travel required Yes, As per business requirement

Detailed Job Description :

- Responsible for TPA Empanelment's for the Old & New Centres.

- Responsible to ensure timely renewal of empanelment's with GIPSA/ Insurance Companies.

- Responsible for proper price negotiation with GIPSA & Insurance companies

- Responsible for streamlining cashless process, design, develop and improve standard operating procedures pertaining to claims operations.

- Responsible for facilitating camps with corporate for business enhancement.

- Responsible to strengthen the claim operations by streamlining billing operations (Financial collections, deductions, timely clearance of Insurance cases and intervene in denial cases

- Responsible to build relationship with TPA's and TPA associated corporates.

- Responsible to maintain center wise database on Insurance empanelments.

- Ensure regular visits to Centres and perform ongoing audit checks on claim submissions, denials, clearance for each center.

- Responsible to publish reports and Dashboard for periodic management reviews (Analysis Cash Vs Credit), (GIPSA Vs Insurance Cases)

- Responsible for other projects and assignments as assigned time to time basis part of the job role.

Desired Profile :

- Graduation / Post Graduation (Any Stream),

- 8+ Years of experience. (Should be relevant to job role)

- Strong networking skills, Relationships with TPA/ Insurance companies / GIPSA

- Process centric approach.

- Open for travel as per business needs