Executive

2 weeks ago

Firozpur, India RG Stone Urology Research Institute Full time

**Location** : Ferozepur Road, Ludhiana,

**Designation** : Executive

**Department** : TPA/BILLING

**Qualification** : Any

**Experience**:
**Total Vacancy**:
**_POSITION GUIDELINES_**

**DOCUMENT- JOB DESCRIPTION/ RESPONSIBILITIES**

**DEPARTMENT : BILLING - T.P.A.**

**POSITION : EXECUTIVE/COORDINATOR**

**REPORTING TO : MANAGER - BILLING - T.P.A.**

**QUALIFICATION : GRADUATION / POST GRADUATION IN COMMERCE**

**EXPERIENCE : 2 - 5 YEARS**

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

**DUTY HOURS : AS PER SCHEDULED REQUIREMENTS**

**JOB DESCRIPTION**

**Key areas of responsibility**:

- To give the estimate to the patients according to the treatment advised and as per the hospital tariff.
- To handle the Corporate Patients and make them aware regarding the authorization / approval required from their concerned companies as per the agreement with the hospital.
- To send the Pre - Authorization request form along with the required documents to the concerned T.P.A.’s for the patients concerned under the Medical Insurance Scheme & Seeking the Cashless Transaction for their treatment.
- 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 timely intimate the Reply / Approvals to the patients**.**
- To register the date of admission of the patients & simultaneously coordinate between the Doctors & Patients in respect of their admissions.
- _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._

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