Job Title

Continental Hospital is a JCI and NABH accredited facility offering multi-specialty, tertiary, and quaternary care services operational at Hyderabad and Jagadalpur.With 585 beds and more than 50 specialties, the healthcare institution is spread across 18 floors (1.4 million sq. ft), with 600 capacity car parking, 36 customized elevators, 2 escalators, located in the IT and Financial District of Hyderabad, Gachibowli.Continental Hospitals, India’s first LEED qualified super specialty hospital is built on international standards and is designed to enhance the healing spaces with natural ventilation, safety, and privacy. The hospital has incorporated the safest standards in the world including fire, water resources, sanitation, and internal transportation systems. Continental Hospitals was founded by Dr Guru N Reddy in April 2013 to redefine healthcare in India by providing quality patient care with integrity, transparency, a collaborative approach, and evidence-based medicine.The hospital has 19 Modular Green OTs, 90 Single-room ICU beds including Level 3 NICU and PICU, and is known for its efficient critical care team. Continental Hospitals has a special health check lounge and a dedicated area for international patients, state-of-the-art facilities and medical equipment, as well as the latest communication and information technology.Key specialties include Gastroenterology, Oncology, Orthopedics, Neuroscience, Cardiology, and Multi-organ Transplants. Our proactive team of highly experienced doctors, nurses, and staff ensures that we deliver the highest standard of personalized care to our patients at all times.Job Title: Insurance & Billing – Administration ManagerQualification: MBBS / BDS / BHMSExperience: Mandatory experience in Multispecialty HospitalsJob Location - HyderabadJob PurposeTo manage end-to-end insurance, billing, and administrative functions, ensuring seamless coordination with insurance companies, accurate tariff setup, efficient claims processing, and denial management while maintaining compliance and operational excellence.Key Responsibilities1. Overall Administration- Oversee insurance and billing administration across OP, IP, and daycare services. - Ensure smooth coordination between clinical, billing, front office, and insurance teams.2. Digital & System Management- Digitally savvy with hands-on experience in HIS (HINAI or equivalent systems). - Configure and manage Charge Master, tariffs, packages, and service codes in the system. - Ensure accurate tariff setup and mapping across departments.3. Insurance & Pre-Certification- Handle pre-certification, pre-authorization, and coordination with TPAs and insurance companies. - Negotiate tariffs and packages with insurance companies and TPAs as required.4. Claims & Denial Management- Oversee end-to-end claims processing, submissions, and follow-ups. - Analyze denial reasons, draft and send appeal mails, and ensure timely resolution of denied cases. - Monitor claim ageing, approval timelines, and settlement ratios.5. Stakeholder & People Management- Lead and manage the insurance and billing team with strong people management skills. - Conduct training, performance monitoring, and process improvements. - Liaise with doctors, clinical teams, finance, and external stakeholders.Key Skills & Competencies- Strong administrative and negotiation skills. - Excellent written communication, especially for insurance denial and appeal correspondence. - Analytical mindset with attention to detail. - High level of digital literacy and system orientation. - Ability to work in a fast-paced multispecialty hospital environment.Mandatory Requirements- Qualification: MBBS / BDS / BHMS. - Prior experience with multispecialty hospitals is mandatory. - Proven exposure to insurance operations, tariff setup, claims, and denial management.