Sr Manager - Front Office (TPA)

Max Healthcare; New Delhi; On-site; INR 1,500,000 - 3,500,000; Full time

Job summary

Max Healthcare is seeking an experienced Manager (TPA) - Front Office to oversee TPA operations, billing, collections and post-discharge support for TPA patients and panel organizations at our Delhi facility.

The role focuses on ensuring accurate billing, timely reconciliations, and proactive coordination with TPAs, while maintaining service excellence and NABH compliance. Strong leadership and process improvement skills are essential.

Qualifications

• Graduate or postgraduate degree.
• 10–15 years of experience in hospital administration/TPA operations.
• Strong interpersonal and communication skills; ability to lead teams.

Responsibilities

• Manage TPA payment reconciliation and billing processes.
• Handle post-discharge queries and maintain TPA ageing and outstanding trackers.
• Ensure timely reporting and compliance with NABH protocols.
• Coordinate with TPAs, insurance companies and panel organizations for approvals and documentation.
• Supervise Front Office/TPA team and monitor daily deliverables.
• Identify process gaps and drive continuous improvement in TPA/Front Office operations.

Skills

Persuasive

Attention to detail

Interpersonal skills

Communication skills

Initiative

Adaptability

Leadership

Team management

Education

Graduate / Post Graduate

Tools

Hospital information systems

TPA processes

Job description

JOB DESCRIPTION

I. JOB DETAILS

Job Title: Manager (TPA) - Front Office

Reporting Supervisor: Manager / HOD - Front Office

II. JOB PURPOSE

To efficiently and effectively manage TPA operations at Front Office, ensuring smooth coordination of billing, collections, payment reconciliation, outstanding follow-up and post-discharge queries for TPA patients and other panel organizations, while maintaining service excellence and compliance with hospital and NABH requirements.

III. KEY RESPONSIBILITIES

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.

IV. KEY PERFORMANCE INDICATORS

Measurable Deliverables

• Accuracy in invoicing / billing
• Timely TPA payment reconciliation and reduction of outstanding/ageing cases
• Timely submission of daily and monthly reports
• Demonstrated ability to maintain confidentiality
• Service Excellence and customer satisfaction
• Effective team supervision and achievement of departmental deliverables
• Compliance with NABH requirements and departmental SOPs
• Active participation in all departmental training and development activities
• Active participation in Inventory Management

V. JOB REQUIREMENTS

Minimum Qualifications

Graduate / Post Graduate

Experience

10 to 15 years

Behavioural Skills

• Persuasive
• Attention to detail
• Interpersonal and communication skills
• Initiative and adaptability
• Leadership and team management

Technical Skills

• Problem solving and ingenuity
• Computer skills
• Working knowledge of hospital information systems / TPA processes

Language Skills

English, Hindi & Punjabi

VI. KEY INTERACTIONS

Key Internal Contacts

Front Office, Billing, IT, Finance, All HODs, Doctors, concerned hospital departments

Key External Contacts

TPA/Insurance Companies, Other Panel Organizations, Patients, Attendants

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.