Healthcare Insurance Executive
2 weeks ago
The Client of Talentmate is seeking a highly skilled Healthcare Insurance Executive to oversee the insurance operations in a healthcare facility. This role is responsible for developing and implementing insurance policies, handling claims processing, and ensuring compliance with industry regulations.
Responsibilities:
- Policymaking: Develop and implement insurance policies and procedures that meet the needs of the healthcare facility.
- Coverage Evaluation: Evaluate insurance coverage options and negotiate contracts with insurance providers to ensure optimal coverage at competitive rates.
- Claims Processing: Process insurance claims in a timely manner, ensuring prompt reimbursement to patients and healthcare providers.
- Relationship Management: Manage relationships with insurance companies and third-party administrators to ensure smooth claims processing and resolution of any issues.
- Regulatory Compliance: Stay updated on changing regulations and ensure compliance with industry standards.
- Training and Development: Train staff on insurance procedures and proper documentation to ensure accurate and efficient claims processing.
- Analytics and Reporting: Analyze insurance data and generate reports for management to inform strategic decision-making.
Minimum Requirements:
- Bachelor's degree in healthcare administration, business, or a related field.
- Knowledge of health insurance policies, procedures, and regulations.
- Experience in insurance claims processing and reimbursement.
- Strong analytical and problem-solving skills.
- Excellent communication and negotiation skills.
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