Tpa Executive

2 days ago

Borivali Mumbai Maharashtra, India Pravaayu Healthcare Pvt Ltd Full time

Here's the updated job description with the required additions:
**Job Description: TPA Executive + Admin**

**Key Responsibilities:Hospital Management**:

- Oversee the operations of the 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.

**Admin Coordination**:

- Handle administrative coordination tasks to ensure seamless hospital operations.
- Maintain office documentation, scheduling, and general hospital admin functions.

**Reception cum Admin Responsibilities**:

- Manage front desk activities, including patient inquiries, visitor management, and administrative assistance.
- Ensure a welcoming and professional reception experience for patients and visitors.

**Coordination with TPA Department at Apex**:

- Liaise with the **TPA department at Apex** for claim processing, pre-authorization, and approvals.
- Ensure smooth communication and coordination between the hospital and TPA officials.

**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 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 Details**:

- **Job Type**: Full-time, Permanent
- **Pay**: ₹15000 - ₹20,000 per month
- **Schedule**: Day shift
- **Experience**: 2 years (preferred)
- **Work Location**: In person

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

Pay: ₹15,000.00 - ₹20,000.00 per month

Schedule:

- Day shift

**Location**:

- Borivali, Mumbai, Maharashtra (preferred)

Work Location: In person

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