JOB DESCRIPTION

Designation

General Manager – Revenue Cycle Management, Process Control & Insurance/TPA Liaison

Grade

AGM

Location

Corporate Office (with travel across hospital units)

Department

Revenue Cycle Management / Commercial

Reporting To

Chief Commercial Officer

Qualification

Graduate/Postgraduate in Healthcare Management, Finance, Commerce or Business Administration (MBA/MHA preferred)

Qualified Experience

12–15 years of progressive experience in Revenue Cycle Management, healthcare finance, or insurance/TPA liaison, with a significant part in a tertiary/quaternary care hospital or health insurance/TPA organization

Main Objective of the Role

To lead end-to-end revenue cycle management, institute robust process controls, drive strategic marketing and business development, and manage insurance/TPA relationships — maximizing revenue realization, minimizing leakage, and enhancing the patient and payer experience across the hospital group.

Key Responsibilities

Revenue Cycle Management

- Own end-to-end revenue cycle management for all insurance, TPA, and corporate patients across the hospital group.

- Monitor and control Days Sales Outstanding (DSO), revenue leakage and denial rates.

- Track and improve collection efficiency, receivables ageing and bad debt provisioning across all units.

- Drive revenue assurance through periodic audits of billing accuracy, coding and tariff application.

Insurance & TPA Liaison

- Build and manage strategic relationships with insurance companies, TPAs and corporate clients to enhance empanelment, tariffs and payment terms.

- Negotiate and renew MoUs/contracts with insurers, TPAs and corporates to secure favorable commercial terms.





- Resolve escalated claim disputes, denials and delayed settlements in coordination with the claims and TPA teams.

- Monitor TPA/insurer performance — turnaround time, denial rates, settlement ratio — and drive corrective engagement.

Marketing & Business Development

- Develop and execute marketing strategies to drive patient volumes, brand visibility and referral network growth.

- Identify new business opportunities, including corporate tie-ups, health-check packages and new insurance/TPA empanelments.

- Collaborate with market aggregators and third party patient financing for business proposition and promotional activities.

- Track marketing ROI, patient acquisition metrics and campaign effectiveness.

MIS, Reporting & Stakeholder Management

- Prepare and present dashboards on revenue cycle performance, ageing, denials, TPA/insurer performance and marketing effectiveness to leadership.

- Lead, train and mentor RCM, billing and liaison teams across locations.

Collaborate closely with Finance, Billing, Clinical and Operations teams to ensure smooth cash flow and patient experience.

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MIS Reports

- Revenue Cycle Performance Dashboard

- Receivables Ageing Report

- Denial & Short-Payment Analysis Report

- TPA/Insurer Performance Report

- Collection Efficiency Report

- Claims Settlement Tracker

- Compliance & Process Audit Scorecard

- Marketing ROI & Patient Acquisition Report

New Empanelment / Contract Status Report

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Supplementary Position Guidelines

Key Relationships

External: Insurance companies, TPAs, Corporates, Marketing/branding agencies, Regulatory bodies

Please Note

Job description is only a general guideline and will change depending on the organizational requirement.

📌 General Manager - Revenue Cycle Management, Process Control & Insurance/TPA Liaison (Thane)
🏢 Jupiter Hospital
📍 Thane