Insurance Relationship Associate
American Hospital
Employer Active
Posted on 12 Apr
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Nationality
Any Nationality
Gender
Not Mentioned
Vacancy
1 Vacancy
Job Description
Roles & Responsibilities
Job Description
- Coordinates empanelment activities with insurance companies and TPAs for new facilities, services, and network expansions under the guidance of the Director RCM.
- Assists in the preparation, coordination, and follow-up of contractual agreements with insurance companies and TPAs in line with approved terms.
- Ensures timely follow-up with insurers on empanelment status, contractual clarifications, and network confirmations.
- Coordinates with internal stakeholders to ensure agreed insurance terms and formalities are implemented accurately to minimize objections and delays.
- Maintains accurate, complete, and up-to-date records of all insurance contracts, agreements, and network documentation.
- Files and centrally documents insurance contracts and agreements with Finance while maintaining working copies for the RCM team.
- Tracks contract validity, amendments, renewals, and updates, escalating discrepancies or gaps as required.
- Ensures timely communication of contract-related updates to relevant stakeholders for correct operational implementation.
- Coordinates with Finance and Billing teams to create and activate new Accounts Receivable (AR) accounts related to newly empaneled insurers or services.
- Supports insurance network and system updates in alignment with approved contract terms and payer requirements.
- Assists in validating that system configurations accurately reflect agreed insurance arrangements.
Desired Candidate Profile
Job Skills
- Minimum of four (4) years of experience in insurance coordination, contract administration, revenue cycle support, or a related healthcare role.
- Knowledge of hospital operations and basic revenue cycle concepts.
- Knowledge of insurance empanelment, network management, and contract administration processes.
- Knowledge of insurance documentation, compliance, and payer requirements.
- Skills in coordination and professional communication with insurance companies, TPAs, and internal stakeholders.
- Skills in documentation management, record keeping, and basic data analysis.
- Skills in using Microsoft Office applications (Word, Excel, PowerPoint, Outlook).
- Ability to manage multiple coordination tasks accurately and within deadlines.
- Ability to analyze information, identify discrepancies, and escalate issues appropriately.
- Ability to maintain confidentiality, attention to detail, and professionalism at all times.
Company Industry
Department / Functional Area
Keywords
- Insurance Relationship Associate
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