Senior Manager - TPA

Job description

Interested Candidates can call on: 8383038120- 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.