Job Description

Role Overview The Candidate will be responsible for overseeing and monitoring end-to-end health insurance / TPA process & credit sales & Collection channel across Max Healthcare. Key Roles and 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 & analysing Debtor Ageing and Daily Collection Reports - Monitoring day to day work of team on receivable software i.e., Eprapti. - To define and set the centralized TPA process. - Motivating the team and responsible for high team morale. Experience & Qualifications: - Graduate, preferably with an MBA in Marketing or a Diploma in Marketing. - Preferably with 6 to 10 years of experience in healthcare of handling TPA / Insurance channel. - Strong Interpersonal skills and conflict resolution ability - Extremely strong Networking Skills - Good Organization and Planning Skills - Robust Relationship Management Skills - Strong focus on performance and Service Excellence

📌 AGM/DGM (Health Insurance Administration & Receivables) Sales and Marketing (Noida)
🏢 Max Healthcare
📍 Noida