Tpa Executive/ Coordinator

2 days 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 : 2 - 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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