Tpa Executive/ Coordinator

1 week ago


Krishna Nagar Delhi Delhi, India RG Stone Urology Research Institute Full time

Location :
Gagan Vihar, New Delhi,

Designation :
TPA Executive/ Coordinator

Department :
Billing/ Front Office

Qualification:

Experience : 1

Total Vacancy : 1

_POSITION GUIDELINES_

DOCUMENT- JOB DESCRIPTION/ RESPONSIBILITIES



DEPARTMENT :
T.P.A.




POSITION :
SUPERVISOR




REPORTING TO :
MANAGER




QUALIFICATION :
GRADUATION / POST GRADUATION IN COMMERCE




EXPERIENCE :

5 YEARS


DRESS CODE :
SPECIFIED DRESS CODE WITH I.D. CARD




DUTY HOURS :
AS PER SCHEDULED REQUIREMENTS


JOB DESCRIPTION

Key areas of responsibility:

  • Responsible for handling TPA Empanelment.
  • Ensure that entire billing part and documentation part is as per requirement.
  • TPA/Cashless /ECHS /CGHS /ESIC billing & documentation.
  • Liaison with Govt. Health Departments.
  • Liaison with Insurance Companies
  • Tie ups with Corporate Houses.
  • To timely solve the queries raised by the T.P.A.'s in connection to the documents forwarded to them for seeking cashless transaction, in respect of the patient concerned under Medical Insurance Scheme.
- _To give priority to emergency cases and to co-ordinate with the consultants / respective department for the same._
- _To maintain appropriate departmental documentation._
- _To treat all communication about patients, staff, and other organizational business confidentially. _
- _To be involved in quality Assurance / Quality control activities._
- _To perform all the jobs as may be assigned due to exigencies of work._
- _Participation in Continuous Quality Improvement._

  • Ensure invoice is done without any delay.
  • Also, need to ensure that the Invoice is submitted to the respective payers on time.
  • Payment follow up religiously and ensure that the DSO is maintained as per the credit terms signed during empanelment


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