Senior Manager - TPA

Interested Candidates can call on:

[phone removed]- Mr. Vaibhav Ittan

Core Responsibilities

• To be responsible for maintaining TPA payment reconciliation.
• To be responsible for the handling of post discharge queries.
• To be responsible for maintaining the outstanding tracker of TPA patients.
• To be responsible for maintaining the ageing bills tracker of TPA patients.
• To be responsible for keeping record for all correspondence done for TPAs.
• To ensure accurate and timely submission of all monthly and daily reports.
• To monitor the end-to-end TPA billing, collection and follow-up process and ensure timely closure of pending cases.
• To coordinate with TPA/Insurance Companies and other panel organizations for approvals, queries, claim-related documentation and payment follow-up.
• To review outstanding and ageing cases, identify bottlenecks and drive timely resolution with concerned stakeholders.
• To ensure accuracy in billing/invoicing and effective reconciliation of TPA payments.
• To achieve high levels of customer satisfaction at each interaction.
• To be responsible for maintenance of departmental records as per the NABH requirement.
• To be responsible for effective utilization of hospital information system.
• To supervise and guide the Front Office/TPA team, allocate work and monitor daily deliverables.
• To display proactive cooperation and contribute to cordial inter and intra team relations, solution orientation and team solidarity. Should be cost effective.
• Should have total familiarity with all instructional manuals and operating procedures applicable to the role and in accordance with NABH protocols.
• To participate in training programs to maintain and update your professional knowledge.
• To identify process gaps and support continuous improvement in TPA and Front Office operations.
• Any other task assigned to you by your HOD from time to time.
• Timely TPA payment reconciliation and reduction of outstanding/ageing cases.