Tpa Executive

1. To ensure increasing revenue of the Hospital by increasing numbers of patients in the hospital and increasing third party paying customers of the hospital.

2. To handling all departments of IPD Billing, Credit Patient Dept. (TPA & corporate), dispatch & recovery.

3. To establish contacts with corporations, insurers, and other third party purchasers of health care services, conducting presentations to these organizations of the services and facilities of the hospital, and organizing direct negotiations and contacts for services with these organizations.

4. To effectively interface with patients/ attendants, Provide timely services with accuracy in billing of TPA patients.

5. To initiate the recovery of overpaid IPD patient bill and to monitor progress of recovery and payment options.

6. TPA Empanelment & Government Tie-ups TPA or Cashless Recoveries. Corporate Company and Government Company Cashless Recoveries.

7. ECHS, CGHS, ESI, cashless Recoveries.

8. To coordinate with the Hospital Billing Team, Cashless/TPA Team /Dispatch/recovery Team. Develop corporate tie
- ups, company empanelment Liaison with Insurance Companies Liaison with Govt.

9. To oversee correct billing of credit patients as per agreement and timely submission. To oversee dispatch of bills to corporate and panel company.

10. To develop report with service user areas and foster teamwork within and across functions. To reconcile Cash/ Credit Card / Demand Draft/ etc. with Invoices.

11. To prepare and distribution the customer invoice and bill coordinate with various consultants for all inpatients billing related services.

12. To care management and insurance / T.P.A. Management.

13. To correspondence with TPA and Insurance Company, follow-up with Branch Manager and make a rapid Process of urgent cashless payment. To do correspondence with corporate client for processing.

14. To cashless claim and maintain hospital in proper manner. To maintain monthly data and to send to MD/Director /Business Head/ General Manager/ Accounts & Finance..

15. To maintain relations with Insurance Companies and Corporate. Reconciliation with TPA and Corporate for Outstanding amount. IPD Billing Supervision national & International billing.

16. To esponsible for handling the billing claims and Resolves the denied claim Supervision of all TPA Insurance cases.

17. To responsible of Credit Bills realization.

18. To review of outstanding and reconciliation with TPA insurance companies.

19. Taking care for deduction claims and recovery of deduction amount. Analyzing of discount report.To submit the monthly MIS and Statistics reports. Submission of MIS, Statistic Reports

20. To handle Independent Correspondence with the Companies & Customers Coordinate with the Team to identify process improvement opportunities Supervision of all TPA Insurance cases

21. To look after all the correspondences with the Insurance/ TPA companies, corporate for claims procedures, settlements, and other department related correspondences to coordinate with all consultants provide estimates for fund grants/ reimbursement process/ claim settlement queries to the patients.

22. To ensure the overall monitoring of the claim process and provide all documents as required by the insurance company.

23. To responsible for ensuring efficient response at the level of pre authorization to maintain

24. To responsible for overall monitoring & follow up of pending settlement amount and reconcile the paid amount with the bank statement on monthly basis.

25. To responsible for new tie-ups from the TPA & PSU’s and renewal if contract is over. Prepare weekly report of pending outstanding payment from different TPA & PSU’s prepare monthly mis report of the TPA department consist of different parameters such as monthly revenue overall & TPA wise, monthly patient overall & TPA wise etc.

26. To prepare and generate bills for the discharged patients. To check all the documents related to TPA.

27. To responsible for all preauthorization medical part and estimate filled. Find out settled amount in our hospital account.

28. To fresh empanelment with govt. And private health insurance company prepare mis report and maintain cashless register

29. To responsible for query reply of all cashless patients.

**Salary**: ₹15,000.00 - ₹25,000.00 per month

**Benefits**:

- Cell phone reimbursement
- Paid sick time

Schedule:

- Day shift
- Fixed shift

Supplemental pay types:

- Overtime pay

Ability to commute/relocate:

- Agra - 282007, Uttar Pradesh: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work: 2 years (preferred)

**Speak with the employer**

+91-XXXXXXXXXX