Customer Care Executive

The Kids Clinic; Gurugram District; On-site; INR 600,000 - 1,100,000; Full time

Job summary

The Kids Clinic in India is seeking an Executive/Sr. Executive - IP Operations to manage end-to-end IP billing, insurance, and patient admission processes. The role emphasizes ensuring timely pre-auths, interim approvals, and final approvals from TPAs, along with robust data management of admissions and discharges.

The position requires 0-7 years of experience and a graduation/MBA/MHA qualification, with a focus on smooth operational execution, staff mentoring, and adherence to hospital policies.

Qualifications

• Graduation/MBA/MHA required.
• 0-7 years of experience in IP operations or related hospital administration.

Responsibilities

• To ensure the admission process is carried out systematically and efficiently.
• To ensure the payable reports are generated and monitored for outstanding cash/corporate & insurance payments.
• To monitor efficiency of the insurance desk and ensure Pre-auth, Interim approval and final approval from TPA is received on time.
• To co-ordinate admissions, room bookings and billing of all patients.
• To prepare and maintain data of admissions, transfers and discharges.
• To handle and escape customer complaints related to hospital regulations concerning Insurance process and discharge formalities.
• To ensure the discharge and settlement process is managed within the given time lines.
• To prepare the roster and effective utilization of manpower by following good leave management system.
• To mentor new joinees and carry out competency assessment for the GRE staff in the billing and Insurance Dept.

Education

Graduation/MBA/MHA

Job description

Job Description

Designation : Executive/ Sr. Executive - IP OperationsDepartment : IPReporting To : HOD-IPDuty Hours: As per schedule intimated from time to timeDress Code : Specified uniform with IDQualification: Graduation/MBA/MHAExperience: 0- 7Years
Job Purpose:
To manage the complete service requirements of high end billing/insurance, housekeeping, maintenance and other services and to ensure a smooth functioning of operations for Inpatients.
Job Responsibilities:

• To ensure the admission process is carried out systematically and efficiently.
• To ensure the payable reports are generated and monitored for outstanding cash/corporate & insurance payments.
• To monitor efficiency of the insurance desk and ensure Pre-auth, Interim approval and final approval from TPA is received on time.
• To answer questions and to provide information directly to the person or on the telephone.
• To co-ordinate admissions, room bookings and billing of all patients.
• To prepare and maintain data of admissions, transfers and discharges.
• To handle and escape customer complaints related to hospital regulations concerning Insurance process and discharge formalities.
• To ensure the discharge and settlement process is managed within the given time lines.
• To prepare the roster and effective utilization of manpower by following good leave management system.
• To mentor new joinees and carry out competency assessment for the GRE staff in the billing and Insurance Dept.
• To manage the feedback systematically.
• To conduct meetings regularly and review the work and required innovative changes approved by Center Head will be executed accordingly.
• To motivate team members for the smooth functioning of the department.
• To communicate with team members regarding any grievances faced by them and ensure that redressal of the same takes place.
• Attending regular meetings conducted by Center Head and ensure that policies and procedures are carried out accordingly.
• Attending to the assignments given as & when designated by the management.
• Conducting facility rounds, overseeing cleaning and maintenance.
• Coordinating with engineering and HR department on day to day basis.
• Ensure that consumables are indented and stored on a day to day basis for smooth functioning.

General Sign-off
The employee is expected to adhere to all agency policies and to act as a role model in adherence to agency policies.
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.
I have read, understood and had the opportunity to ask questions regarding this position description.