Job DescriptionRole Overview
nThe Candidate will be responsible for overseeing and monitoring end-to-end health insurance / TPA process & credit sales & Collection channel across Max Healthcare.
nKey Roles and Responsibilities:
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- Responsible for TPA / Insurance Empanelment & renewals of contracts.n
- Responsible for periodical tariff revision & price negotiation with private & GIPSA insurance companies.n
- Responsible for timely recoveries of TPA Credit sales. (Collection & Deduction Recovery)n
- Liaoning with TPAs & Insurer key persons and relationship building.n
- Responsible for Rejection & Deduction follow ups.n
- Responsible for account reconciliation with internal & external customers.n
- Regular record updating of Insurance & Deduction Trackern
- Periodic review of individual and departmental performance.n
- Defining the organizational goals, strategies, setting of internal monthly targets for collection & deductions.n
- Monitor, administer & training of the centralize team.n




- 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.n
- Performing troubleshooting during cashless approvals and pre & post-discharge of the patients for all unitsn
- Ensuring group's timely dispatch of credit invoices for payment recoveriesn
- Reconciling accounts with all TPAs, Insurance Companies, and internal Finance Teamsn
- 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 managementn
- Following-up for deduction and rejection of the TPA claims; reviewing & analysing Debtor Ageing and Daily Collection Reportsn
- Monitoring day to day work of team on receivable software i.e., Eprapt

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