Head- TPA & IPD Billing

• IPD- Patient conversion to IPD
• Preparing the packages and implementation of the same & Coordination with Doctors Regarding Rate List.
• Discount Management
• Responsible for Admission and Discharge Process and maintaining the discharge & admin TAT
• Estimate Tagging And Accuracy
• Bed Management
• Looking after the IPD Billing Team
• Daily, Weekly, Fortnightly and Monthly data presentation to GM Ops and Medical

superintendent / Management

• Supervision of proper counselling patient's family & pre-Auth process,
• Supervision of Maintaining & uploading patient's files on the portal till the discharge.
• Responsible for all co-ordination activities from patient's admission to discharge.
• Handling billing Department, Implants bill updating & reconciliation,
• Daily co-ordination with the patient and Hospital staff.
• Counseling of patients and solve their queries & try to
• Rounds of the hospital admitted patients for any queries
• Pricing- Implementation of new tariff for the revenue enhancement
• Surgical packages preparations and implementations
• Tariff Updation: Rates in system or item rates not in system or generate new item surgery names with approval of management.
• Feedback Management & Training Management: Patient Feedback and grievances handling and resolution and enhancing the patient satisfaction score
• Liaising with another department for the complaints closer
• Departmental training for the smoothness of the process
• Students training on the Hospital and Departmental process.
• TPA: Heading TPA and Dispatch
• Looking after the team for the smoothness of the TPA process and Approvals in a Short Time
• Bill Dispatch in minimum time for further processing
• Emergency: - Handling queries of patients and their attendants and conversion into IPD.
• Handling TPA related all process from billing to co-ordinate with TPA companies at the time admission & discharge( Cash & Credit- ECHS, Railways, ESI, PMJ/ Ayushman & other insurance companies) .
• Must be aware of norms of the insurance sector, PMJ/ Ayushman, ESI, ECHS and any other insurance company.
• Responsible for Audit of Bills before discharge of patient
• Responsible of Taking Refunds of IPD patients.
• Responsible for making Roaster of staff posted in Department & their training.
• Coordination with respective insurance companies for deduction and handling/Solving the query of bill though email or any other mode of communications
• Ensuring Approvals informations to Medical officer with copy in file