Head- TPA & IPD Billing (Rajpura)

Head- TPA & IPD Billing (Rajpura)

02 Oct
|
Neelam Healthcare
|
Rajpura

02 Oct

Neelam Healthcare

Rajpura

- IPD- Patient conversion to IPD
- Preparing the packages and implementation of the same & Coordination with Doctors Regarding Rate List.
- Discount Management
- Responsible for Admission and Discharge Process and maintaining the discharge & admin TAT
- Estimate Tagging And Accuracy
- Bed Management
- Looking after the IPD Billing Team
- Daily, Weekly, Fortnightly and Monthly data presentation to GM Ops and Medical

superintendent / Management

- Supervision of proper counselling patient's family & pre-Auth process,
- Supervision of Maintaining & uploading patient's files on the portal till the discharge.
- Responsible for all co-ordination activities from patient's admission to discharge.
- Handling billing Department, Implants bill updating & reconciliation,
- Daily co-ordination with the patient and Hospital staff.
- Counseling of patients and solve their queries & try to
- Rounds of the hospital admitted patients for any queries
- Pricing- Implementation of new tariff for the revenue enhancement
- Surgical packages preparations and implementations
- Tariff Updation: Rates in system or item rates not in system or generate recent item surgery names with approval of management.
- Feedback Management & Training Management:



Patient Feedback and grievances handling and resolution and enhancing the patient satisfaction score
- Liaising with another department for the complaints closer
- Departmental training for the smoothness of the process
- Students training on the Hospital and Departmental process.
- TPA: Heading TPA and Dispatch
- Looking after the team for the smoothness of the TPA process and Approvals in a Short Time
- Bill Dispatch in minimum time for further processing
- Emergency: - Handling queries of patients and their attendants and conversion into IPD.
- Handling TPA related all process from billing to co-ordinate with TPA companies at the time admission & discharge( Cash & Credit- ECHS, Railways, ESI, PMJ/ Ayushman & other insurance companies) .
- Must be aware of norms of the insurance sector, PMJ/ Ayushman, ESI, ECHS and any other insurance company.
- Responsible for Audit of Bills before discharge of patient
- Responsible of Taking Refunds of IPD patients.
- Responsible for making Roaster of staff posted in Department & their training.
- Coordination with respective insurance companies for deduction and handling/Solving the query of bill though email or any other mode of communications
- Ensuring Approvals informations to Medical officer with copy in file

📌 Head- TPA & IPD Billing (Rajpura)
🏢 Neelam Healthcare
📍 Rajpura

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