Insurance Manager

MAIN PURPOSE OF JOB

• To manage the operations of the insurance function at hospital level in an effective and efficient manner to prevent and mitigate financial risks for the company.

KEY RESPONSIBILITY AREAS

• Managing the insurance team at business unit level
• Daily operational management of the insurance function
• Manage and monitor all processes, including compliance with, payer audits
• Provide relevant training to Front Office and other hospital employees to ensure relevant knowledge transfer is sufficient to prevent potential financial risks for the company

REQUIRED EDUCATION

• A formal clinical or coding qualification
• MBBS or Physiotherapy qualification is desired

REQUIRED EXPERIENCE

• At least 5 years’ insurance experience in a hospital, insurance or TPA’s setting
• At least 2 years’ experience in managing/supervising a team

REQUIRED JOB SKILLS AND KNOWLEDGE

• Client service and related management principles
• ICD-10CM, CPT, HCPCS, CDT, DSL
• Knowledge of Funders and related processes and rules
• Medical terminology
• Negotiation skills
• Verbal and written communication skills in English