TPA Executive + Admin

2 days ago

Borivali West, Maharashtra, India Pravaayu Healthcare Full time ₹ 8,00,000 - ₹ 12,00,000 per year

Job Description:

We are seeking a proactive and efficient TPA Executive + Admin to manage and coordinate various activities at the hospital with cashless facilities. The ideal candidate will have experience in hospital administration, customer service, and insurance/TPA management. The role requires managing day-to-day operations, ensuring smooth functioning, and providing excellent service to patients and their families.

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:

Coordinate HR and admin-related tasks, including job postings, screening of candidates, and salary calculation.

Strong organizational and Leadership skills, Communication, TPA & Mediclaim Management.

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