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 accountreconciliation with internal & external customers. N
Regular record updatingof Insurance & Deduction Tracker N
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 units N
Ensuring group's timelydispatch of credit invoices for payment recoveries N
Reconciling accounts with all TPAs, Insurance Companies, and internal Finance Teams N
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 N
Following-up for deduction and rejection of the TPA claims;
reviewing & analysing Debtor Ageing and Daily Collection Reports N
Monitoring day to day work of team on receivable softw

📌 Hiring: Agm/dgm Faridabad
🏢 Max Healthcare
📍 Faridabad