Insurance Relationship Associate

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.