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 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.
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
Key External Contacts
Front Office, Billing, IT, Finance, All HODs, Doctors, concerned hospital departments
TPA/Insurance Companies, Other Panel Organizations, Patients, Attendants
📌 Senior Manager - Front Office (TPA) (New Delhi)
🏢 Mhc
📍 New Delhi
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