TPA Executive + Admin

Pravaayu Healthcare; Thane; On-site; INR 300,000 - 460,000; Full time

Job summary

Pravaayu Healthcare is seeking a proactive TPA Executive and Admin to coordinate hospital activities, manage cashless facilities, and ensure smooth patient experiences. The candidate should have experience in hospital administration, customer service, and insurance/TPA management.

You will lead front desk operations, handle IPD/OPD billing, coordinate with TPAs, maintain MIS reports, supervise a team, and organize meetings and events.

Qualifications

• Experience in hospital administration and customer service.
• Exposure to insurance/TPA management is preferred.
• Strong organizational and leadership abilities.

Responsibilities

• Oversee hospital operations with cashless facilities.
• Facilitate smooth interaction between patients, hospital staff, and TPA network.
• Supervise Front Desk In-Charge and train staff for efficiency.
• Attend to patients and relatives, addressing queries promptly.
• Handle inbound calls and route to relevant departments.
• Manage inward/outward courier dispatches.
• Maintain MIS reports for registrations, admissions and follow-ups.
• Monitor service quality and align with standards.
• Coordinate meetings, conferences and events, including catering.
• Manage IPD/OPD billing and cashless settlements with authorities.
• Handle all TPA and Mediclaim processes from pre-authorization to settlement.
• Coordinate HR and admin tasks including postings and salary calculations.

Skills

Hospital Admin

Customer Service

TPA Management

Team Leadership

Billing

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.