Senior Manager - TPA

Max Healthcare

New Delhi

On-site

INR 250,000 - 380,000

Full time

14 days+

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Job summary

Max Healthcare in New Delhi is seeking a dedicated professional to manage TPA payment reconciliation, handle post-discharge queries, and maintain ageing and outstanding trackers. You will coordinate with TPAs and insurance panels, ensuring timely documentation and payments.

The role focuses on accurate invoicing, end-to-end TPA billing, and timely reports while upholding NABH protocols. You will supervise Front Office/TPA activities, contributing to process improvements and departmental record

Responsibilities

To be responsible for maintaining TPA payment reconciliation.
To be responsible for the handling of post discharge queries.
To be responsible for maintaining the outstanding tracker of TPA patients.
To be responsible for maintaining the ageing bills tracker of TPA patients.
To be responsible for keeping record for all correspondence done for TPAs.
To ensure accurate and timely submission of all monthly and daily reports.
To monitor the end-to-end TPA billing, collection and follow-up process and ensure timely closure of pending cases.
To coordinate with TPA/Insurance Companies and other panel organizations for approvals, queries, claim-related documentation and payment follow-up.
To review outstanding and ageing cases, identify bottlenecks and drive timely resolution with concerned stakeholders.
To ensure accuracy in billing/invoicing and effective reconciliation of TPA payments.
To achieve high levels of customer satisfaction at each interaction.
To be responsible for maintenance of departmental records as per the NABH requirement.
To be responsible for effective utilization of hospital information system.
To supervise and guide the Front Office/TPA team, allocate work and monitor daily deliverables.
To display proactive cooperation and contribute to cordial inter and intra team relations, solution orientation and team solidarity. Should be cost effective.
Should have total familiarity with all instructional manuals and operating procedures applicable to the role and in accordance with NABH protocols.
To participate in training programs to maintain and update your professional knowledge.
To identify process gaps and support continuous improvement in TPA and Front Office operations.
Any other task assigned to you by your HOD from time to time.
Timely TPA payment reconciliation and reduction of outstanding/ageing cases.

Job description

Interested Candidates can call on:

8383038120- Mr. Vaibhav Ittan

Core Responsibilities

To be responsible for maintaining TPA payment reconciliation.
To be responsible for the handling of post discharge queries.
To be responsible for maintaining the outstanding tracker of TPA patients.
To be responsible for maintaining the ageing bills tracker of TPA patients.
To be responsible for keeping record for all correspondence done for TPAs.
To ensure accurate and timely submission of all monthly and daily reports.
To monitor the end-to-end TPA billing, collection and follow-up process and ensure timely closure of pending cases.
To coordinate with TPA/Insurance Companies and other panel organizations for approvals, queries, claim-related documentation and payment follow-up.
To review outstanding and ageing cases, identify bottlenecks and drive timely resolution with concerned stakeholders.
To ensure accuracy in billing/invoicing and effective reconciliation of TPA payments.
To achieve high levels of customer satisfaction at each interaction.
To be responsible for maintenance of departmental records as per the NABH requirement.
To be responsible for effective utilization of hospital information system.
To supervise and guide the Front Office/TPA team, allocate work and monitor daily deliverables.
To display proactive cooperation and contribute to cordial inter and intra team relations, solution orientation and team solidarity. Should be cost effective.
Should have total familiarity with all instructional manuals and operating procedures applicable to the role and in accordance with NABH protocols.
To participate in training programs to maintain and update your professional knowledge.
To identify process gaps and support continuous improvement in TPA and Front Office operations.
Any other task assigned to you by your HOD from time to time.
Timely TPA payment reconciliation and reduction of outstanding/ageing cases.