Tpa Executive/ Admin

5 days ago

Borivali West Mumbai Maharashtra, India Pravaayu Healthcare Pvt Ltd Full time

**Key Responsibilities**:

- **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.
- **HR & Admin Responsibilities**:
**Job Types**: Full-time, Permanent

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

**Benefits**:

- Flexible schedule

Schedule:

- Day shift

**Experience**:

- total work: 2 years (preferred)

Work Location: In person

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