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 s

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