Assistant Manager/Deputy Manager - TPA

Greetings from Max Superspeciality Hospital, Vaishali, Ghaziabad!

We are hiring for proactive and dynamic TPA professional.

Role & responsibilities

• To be responsible for maintaining TPA Processing of cashless and all post discharge health insurance claims.
• To be responsible to maintain overall TAT entry to exit.
• TPA query reply and preauthorisation follow up with insurance company / tpa.
• Medical scrutiny and medical opinion for health insurance claims.
• Efficient in claim adjudication and claim processing.
• Maintaining and ensuring Standard Operating Procedures and protocols.
• To be responsible for keeping record for all correspondence done for TPA.
• Post discharge reconciliation for utilization of claims.
• Timely reply to internal TPA complaint portal.
• TPA discharge follow up and closure.
• Mmaintenance of departmental records as per the NABH requirement.
• Effective utilization of hospital information system, MIS generation of TPA patients.
• To display proactive cooperation and contribute to cordial inter and intra team relations, solution orientation and team solidarity. Should be cost effective.
• To participate in training programs to maintain and update your professional knowledge.
• To achieve high levels of customer satisfaction at each interaction.

Any task assigned to you by your HOD from time to time.

Preferred candidate profile

Any Graduate with 7-12 years of experience in TPA OF hospital industry.

Interested applicants can WhatsApp their CV's on [phone removed] (Shivani Bhati)