Deputy Duty Manager - TPA
Max Healthcare · Ghaziabad · onsite · Posted 2d ago
Undisclosed7–9 yrsfulltimeSourced from
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About this role
JOB DESCRIPTION
I. JOB DETAILS
Job Title
Deputy Duty Manager (TPA) - Front Office
Reporting Supervisor
Head - Front Office
II. JOB PURPOSE
To efficiently perform assigned TPA work including management of overall TPA process, ensuring smooth and hassle free discharge of TPA patients.
III. KEY RESPONSIBILITIES
Core 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. Page BreakIV. KEY PERFORMANCE INDICATORSMeasurable Deliverable s
- Accuracy in invoicing \/ billing
- Demonstrated ability to maintain confidentiality
- Service Excellence
- Active participation in all departmental training and development activities.
- Active participation in Inventory Management. V. JOB REQUIREMENTSMinimum QualificationsGraduate\/Post GraduateExperience7 - 9 years of relevant experience.Technical Skills
- Problem solving and ingenuity
- Computer skills Behavioural Skills
- Persuasive
- Attention to detail
- Interpersonal and communication skills
- Initiative and adaptability Language Skills
- English
- Hindi VI. KEY INTERACTIONSKey Internal ContactsKey External Contacts
- Medical Superintendent, Nursing.
- Front office, Billing, IT, Finance, All HODs.
- Doctors.
- TPA\/Insurance Companies, Other Panel Organization.
- Patients, Attendants.
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This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Skills
customer satisfactionMedical SuperintendentMIS GenerationHospitalAdjudicationClaim Adjudicationhospital information systemInventory ManagementCommunication SkillsService ExcellencefinanceTraining And Development
About Max Healthcare
Max Healthcare
Healthcare
15.1k+
employees
2001
25 years old
Delhi/NCR, New Delhi
India
About
Max Healthcare is Indias leading providers of world class healthcare services.
Industries
HealthcareHealthcare / Pharma
Employee ratings
3,169 reviews
4.0/ 5
Culture
3.8
Career growth
3.4
Work-life
3.8
Employees rate it well for
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