Assist in coordinating communication between NMC and insurance/corporate companies/funders regarding contract, contract terms, facility empanelment addition, deletion, NMC bank accounts, doctor profile, new service addition and price revision etc.,
Support the resolution of claim rejections, short payments, and pre-authorization issues by liaising with internal stakeholders and payers.
Support the resolution of price revision updates by liaising with internal stakeholders (IT) and payers.
Maintain up-to-date records of funder correspondence, contract registers, and key account documentation.
Monitor funder response times and escalate delays to the Funder Relations Manager.
Help track funder performance indicators (e.g., claim acceptance, turnaround time, denial rates).
Schedule and coordinate meetings between NMC management and funder representatives.
Prepare reports and summaries related to funder activity and performance for review by senior management.
Collaborate with revenue cycle, billing, coding, and clinical teams to resolve funder-related issues impacting revenue realization.
Ensure compliance with DHA/DOH regulations regarding insurance and third-party administration.
