10 Sep
|
Apex Hospital, Malviya Nagar
|
Jaipur
10 Sep
Apex Hospital, Malviya Nagar
Jaipur
1. Job Purpose
To lead and manage the Group Credit function with overall responsibility for government and TPA empanelments, revenue realization, outstanding collections, rejected and disallowed claims, government notices, statutory/license tracking, and revenue enhancement across all hospital units.
The position will ensure timely claim resolution, reduction in rejections and disallowances, faster collection of outstanding dues, effective government liaisoning, and continuous improvement in credit and revenue-cycle processes.
2. Key ResponsibilitiesA. Government Empanelment & Business Development
- Drive government and institutional empanelment across all hospital units.
- Lead empanelment with NHA/PMJAY, ECHS, Railway, CGHS, ESIC, RGHS and other government panels.
- Develop and maintain robust liaison with concerned government departments and authorities.
- Identify opportunities for new government/institutional business.
- Monitor empanelment status through a centralized tracker and ensure timely closure.
B. TPA Empanelment & Business Growth
- Drive TPA empanelment across all units.
- Ensure completion of TPA empanelment within defined timelines.
- Develop strategies to increase TPA business across the group.
- Monitor unit-wise TPA business and identify opportunities for growth.
- Coordinate with operations, billing, medical and insurance teams to improve conversion and realization.
C. Outstanding Collection & Credit Control
- Take ownership of outstanding receivables, particularly dues pending for more than three months.
- Work closely with the concerned team members for collection from ECHS, Railway, CGHS, ESIC, TPA and other government/institutional payers.
- Prepare unit-wise and payer-wise ageing analysis.
- Categorize outstanding balances based on collectability, documentation issues, disputes and payment status.
- Establish action plans for recovery of long-pending dues.
- Ensure closure of eligible outstanding balances within defined timelines.
- Es
📌 Group Head (Jaipur)
🏢 Apex Hospital, Malviya Nagar
📍 Jaipur