Health Insurance Manager / Head

Job Title: Medical Insurance Manager / Head
Hospital Name: UNITTAS Multispeciality Hospitals
Location:Tambaram, Chennai

Department: Medical Insurance / Billing

Reports To: Hospital Administrator / COO / Finance Head

Contact: Nandha HR - 6383380596

Key Responsibilities:

• Lead and manage the Medical Insurance Department of the hospital.
• Build and maintain relationships with insurance companies, TPAs, and corporate clients.
• Oversee pre-authorization approvals, claim submissions, and settlement follow-ups.
• Monitor insurance policy coverage and eligibility for patients.
• Coordinate between doctors, billing, accounts, and patients for insurance documentation.
• Handle claim rejections and resolve disputes with insurers/TPAs.
• Maintain MIS reports for daily, weekly, and monthly insurance activities.
• Ensure timely closure of pending claims and revenue realization.
• Develop SOPs and ensure compliance with IRDA and hospital standards.
• Train, mentor, and guide the insurance team for effective performance.
• Participate in audits and ensure proper documentation for all claims.
• Provide management with insights on insurance trends and revenue impact.

Required Skills & Competencies:

• Strong understanding of healthcare insurance processes and regulations.
• Expertise in handling TPAs and corporate insurance tie-ups.
• Strong leadership, negotiation, and conflict-resolution skills.
• Excellent communication and interpersonal skills.
• Knowledge of hospital billing and insurance software.
• Analytical and detail-oriented mindset.

Qualifications & Experience:

• Bachelor’s / Master’s degree in Business Administration, Hospital Administration, or related field.
• 8–15 years of experience in medical insurance operations (hospital or healthcare industry).
• Prior experience in leading an insurance/billing team is preferred.

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹50,000.00 per month

Work Location: In person