Sr Manager - Front Office (TPA)
Max Healthcare · Delhi · onsite · Posted 43d ago
Undisclosed10–15 yrsfulltimeSourced from
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About this role
JOB DESCRIPTION
I. JOB DETAILS
Job Title
Manager (TPA) - Front Office
Reporting Supervisor
Manager / HOD - Front Office
II. JOB PURPOSE
To efficiently and effectively manage TPA operations at Front Office, ensuring smooth coordination of billing, collections, payment reconciliation, outstanding follow-up and post-discharge queries for TPA patients and other panel organizations, while maintaining service excellence and compliance with hospital and NABH requirements.
III. KEY RESPONSIBILITIES
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.
IV. KEY PERFORMANCE INDICATORS
Measurable Deliverables
- Accuracy in invoicing / billing
- Timely TPA payment reconciliation and reduction of outstanding/ageing cases
- Timely submission of daily and monthly reports
- Demonstrated ability to maintain confidentiality
- Service Excellence and customer satisfaction
- Effective team supervision and achievement of departmental deliverables
- Compliance with NABH requirements and departmental SOPs
- Active participation in all departmental training and development activities
- Active participation in Inventory Management
V. JOB REQUIREMENTS
Minimum Qualifications
Graduate / Post Graduate
Experience
10 to 15 years
Behavioural Skills
- Persuasive
- Attention to detail
- Interpersonal and communication skills
- Initiative and adaptability
- Leadership and team management
Technical Skills
- Problem solving and ingenuity
- Computer skills
- Working knowledge of hospital information systems / TPA processes
Language Skills
English, Hindi & Punjabi
VI. KEY INTERACTIONS
Key Internal Contacts
Key External Contacts
Front Office, Billing, IT, Finance, All HODs, Doctors, concerned hospital departments
TPA/Insurance Companies, Other Panel Organizations, Patients, Attendants ","
Disclaimer: 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 satisfactionPayment Reconciliationoffice operationsHospitalteam managementMonthly Reportshospital information systemInventory ManagementCommunication SkillsoperationsmaintenancecomplianceService Excellencefinance
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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