Manager - Insurance & Corporate Relations
2070 Health · Mumbai · onsite · Posted 28d ago
Undisclosed5–10 yrsfulltimeSourced from
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About this role
Job Description - TPA / Corporate Manager
Location: Mumbai
Function:
Industry: Healthcare / Hospitals
Experience: 2-10 years
Employment Type: Full-time
About the Role Function:
Industry: Healthcare / Hospitals
Experience: 2-10 years
Employment Type: Full-time
We are looking for an experienced SSO - TPA / Corporate Manager to manage and strengthen relationships with TPAs, insurance companies, corporate clients, and other institutional partners for our hospital operations in Mumbai.
The role will be responsible for ensuring smooth cashless and corporate patient processes, timely coordination, revenue realization, and strong partner relationships.
Key Responsibilities - Manage day-to-day relationships with TPAs, insurance companies, corporates, and institutional clients .
- Ensure smooth processing of cashless approvals, pre-authorizations, extensions, and final approvals.
- Coordinate with clinical, billing, front office, and medical teams for timely documentation and claim processing.
- Monitor TPA/corporate cases from admission to discharge.
- Ensure timely submission of bills, documents, and claims to respective TPAs/insurers.
- Track and resolve claim-related queries, deductions, rejections, and discrepancies.
- Maintain and strengthen relationships with existing corporate and insurance partners.
- Identify opportunities for onboarding new corporate/insurance/TPA relationships.
- Monitor agreed tariffs, packages, rate contracts, and commercial terms.
- Coordinate negotiations and renewals of corporate/TPA agreements wherever required.
- Prepare MIS and reports related to TPA/corporate business, approvals, claims, collections, and outstanding amounts.
- Work closely with the finance and collections teams to improve realization and reduce outstanding receivables.
- Ensure compliance with hospital policies, contractual requirements, and applicable processes.
- Handle escalations from patients, corporate clients, and TPAs.
- Strong knowledge of TPA, insurance, cashless and corporate healthcare processes .
- Good understanding of hospital billing and claims.
- Strong communication and negotiation skills.
- Relationship management skills.
- Analytical and problem-solving ability.
- Strong coordination with cross-functional teams.
- Good command of MS Excel and MIS reporting.
Candidates from hospitals, healthcare organizations,healthcare service providers with relevant experience will only be considered.
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Skills
Hospital OperationsNegotiation SkillsHospitalhandle escalationshospital billingrate contractsHealthcareOnboardingMIS ReportingoperationscomplianceexcelfinanceRelationship Management
About 2070 Health
2070 Health
None
IN
₹12.1L PA avg
Avg at 2070 Health
About
Healthcare in India is a broken experience for most patients. Challenges of access, quality of care, and non-holistic solutions exist across patient demographics.
At 2070 Health, we aim to strike at the heart of the problem by addressing the challenges that hinder innovation in this industry and solve the massive white spaces.
We are Indias first Venture Studio building patient-centric healthcare companies from scratch by bringing together futuristic ideas, exceptional founders, and a powerful innovation platform.
At 2070 Health, we aim to strike at the heart of the problem by addressing the challenges that hinder innovation in this industry and solve the massive white spaces.
We are Indias first Venture Studio building patient-centric healthcare companies from scratch by bringing together futuristic ideas, exceptional founders, and a powerful innovation platform.
Industries
FitnessHealth CareWellness
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