JOB DESCRIPTION
Job Title: Associate/ Deputy General Manager (Health Insurance Administration & Receivables) – Sales & Marketing
Reporting Supervisor : AVP & Head - Receivables & Insurance Relationships – Sales & Marketing
JOB PURPOSE: To centralize, administer, and monitor the health insurance / TPA process & credit sales & Collection channel PAN MAX.
KEY RESPONSIBILITIES
Responsible for TPA / Insurance Empanelment & renewals of contracts.
Responsible for periodical tariff revision & price negotiation with private & GIPSA insurance companies.
Responsible for timely recoveries of TPA Credit sales. (Collection & Deduction Recovery)
Liaoning with TPAs & Insurer key persons and relationship building.
Responsible for Rejection & Deduction follow ups.
Responsible for account reconciliation with internal & external customers.
Regular record updating of Insurance & Deduction Tracker
Periodic review of individual and departmental performance.
Defining the organizational goals, strategies, setting of internal monthly targets for collection & deductions.
Monitor,



administer & training of the centralize team.
Regular visits & meeting with internal customers of the group such as TPA Desk, Finance & Accounts, Front Office, and Bill Dispatch Departments; ensuring smooth functioning of the TPA Process.
Performing troubleshooting during cashless approvals and pre & post-discharge of the patients for all units
Ensuring group’s timely dispatch of credit invoices for payment recoveries
Reconciling accounts with all TPAs, Insurance Companies, and internal Finance Teams
Directing on-account (NEFT) settlement for ensuring timely settlement of NEFT payments, creating departmental MIS, reports, and presentations pertaining to TPA revenue, debtors aging, collection, deduction, old payment & NEFT (on-account) settlement for periodic review of team with higher management
Following-up for deduction and rejection of the TPA claims; reviewing & analyzing Debtor Ag

📌 Associate/ Deputy General Manager Gurugram (India)
🏢 Mhc
📍 India