About Us: Hope Women’s and Children’s Hospital is a leading 100-bedded multispecialty facility in Telangana, dedicated to providing exceptional care for women and children. With advanced departments including NICU, PICU, Modular OT, and a 24/7 Emergency & Ambulance Service, we are committed to clinical excellence and operational efficiency.Position Overview: We are looking for a detail-oriented and experienced Insurance Manager to lead and streamline our insurance processes. The ideal candidate will be responsible for managing end-to-end insurance operations, ensuring smooth coordination between TPA, patients, and internal departments.Key Responsibilities:Handle end-to-end coordination with TPAs, insurance companies, and empanelment agencies.Oversee pre-authorization, claim submission, and follow-up of pending claims.Ensure timely settlement of claims and maintain accurate documentation.Coordinate with the billing and finance team for insurance patient billing.Track reimbursement status and generate periodic MIS reports.Manage and update hospital empanelments and TPA agreements.Train front office and billing staff on insurance procedures and documentation.Address patient queries and grievances related to insurance coverage and processing.Requirements:Graduate in any discipline (MBA in Hospital Administration/Finance preferred).Prior hospital experience is a must.Minimum 5 years of relevant experience in hospital insurance management.Strong knowledge of TPA processes, pre-auth, and claim settlement workflows.Good communication skills and ability to coordinate with patients and insurers.Proficiency in Excel, email communication, and hospital software systems.
Job Title
Insurance Manager