JOB DESCRIPTION
I. JOB DETAILS
Job Title
Manager (TPA) - Front Office
Reporting Supervisor
Manager / HOD – Front Office
II. JOB PURPOSE
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 opera
📌 Senior Manager (New Delhi)
🏢 Mhc
📍 New Delhi