Interested Candidates can call on:

(phone hidden)- 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 qualified 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.

📌 Senior Manager - TPA (New Delhi)
🏢 Max Healthcare
📍 New Delhi