Tpa Executive

1 week ago

Borivali Mumbai Maharashtra, India Pravaayu Healthcare Pvt Ltd Full time

Hospital Management: Oversee the operations of hospital with cashless facilities. -Ensure smooth interaction between patients, hospital staff, and the TPA network.

Team Leadership: Supervise and manage a team as the Front Desk In-Charge. Ensure the team is properly trained and efficient in their roles.

Customer Interaction: Attend to patients and their relatives, providing assistance and guidance as required. Address patient queries and concerns promptly and effectively.

Inbound Call Management: Handle inbound calls and forward them to the appropriate department or person as needed.

Courier Dispatch Management: Oversee and manage the inward and outward dispatch of couriers in a timely manner.

MIS Reporting: Maintain detailed MIS reports of patient registrations, admissions, and follow-ups. Ensure the accuracy and timeliness of all records.

Quality Maintenance: Monitor the quality of services provided by the hospital team and ensure they align with organizational standards.

Event Coordination: Coordinate with the staff for organizing meetings, conferences, and events, including arranging refreshments and meals. Arrange seminars and camps, collaborating with doctors, lab technicians, and other relevant personnel.

Billing & Cashless Services: Handle both IPD (Inpatient Department) and OPD (Outpatient Department) billing processes. Manage cashless billing and settlements with the relevant authorities and insurance providers.

TPA & Mediclaim Management: Handle all TPA and mediclaim work, from pre-authorization to settlement. Coordinate with insurance companies and ensure smooth processing of claims.

**Job Types**: Full-time, Permanent

Pay: ₹25,000.00 - ₹30,000.00 per month

Schedule:

- Day shift

Work Location: In person

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