Job Description: The Manager of Provider Payments and Reconciliation will be responsible for overseeing the payment process to healthcare providers, ensuring accurate and timely reconciliation, and managing the assigned geography. This is a full-time position, and occasional evening and weekend work may be required as job duties demand.
Key Responsibilities:
Provider Payments: Oversee the payment process to healthcare providers, ensuring payments are made accurately and on time.
Reconciliation: Manage the reconciliation process, ensuring discrepancies between payments and services rendered are identified and resolved promptly.
Stakeholder Communication: Maintain open lines of communication with healthcare providers, internal teams for timely adjudication and fixing errors in claims either for internal team action or external, addressing any concerns or queries related to payments and reconciliation.
Reporting: Prepare and present regular reports on payment and reconciliation activities, providing insights and recommendations for process improvements.
Team Management: Lead and manage a team, fostering a positive work environment that encourages collaboration and innovation.
Qualifications:
Bachelor’s degree in Finance, Business Administration, or related field.
Proven experience in a managerial role within a TPA or health insurance environment.
Strong understanding of provider payment processes and reconciliation.
Excellent leadership and team management skills.
Strong communication and interpersonal skills. Fluency in speaking English, Hindi and Telugu, and good writing skills in English.
Proficiency in using MS Office, Google spreadsheets.
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Pay: ₹500,000.00 - ₹600,000.00 per year
Benefits:
- Health insurance
- Provident Fund
Work Location: In person
