OF SENIOR MANAGER-BILLING& TPA

· 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 current 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 information’s to Medical officer with copy in file

Pay: ₹85,000.00 - ₹125,000.00 per month

Work Location: In person

📌 Head TPA & billing (Rajpura)
🏢 Neelam Hospital
📍 Rajpura