Designation: Executive - BIlling TPA

Qualification: Graduate or Above

Department: BIlling TPA

Work Experience: 2+ Years

Total Opening: 1

Location: Rajouri Garden, Recent Delhi

Job Description : POSITION GUIDELINES DOCUMENT- JOB DESCRIPTION/ RESPONSIBILITIES

DEPARTMENT : T.P.A. POSITION : EXECUTIVE/ COORDINATOR REPORTING TO : MANAGER QUALIFICATION : GRADUATION / POST GRADUATION IN COMMERCE EXPERIENCE : 1 - 5 YEARS

JOB DESCRIPTION

Key areas of responsibility :

- Responsible for handling TPA Empanelment.
- Ensure that entire billing part and documentation part is as per requirement.
- TPA/Cashless /ECHS /CGHS /ESIC billing & documentation.
- Liaison with Govt. Health Departments.
- Liaison with Insurance Companies
- Tie ups with Corporate Houses.
- To timely solve the queries raised by the T.P.A.’s in connection to the documents forwarded to them for seeking cashless transaction,



in respect of the patient concerned under Medical Insurance Scheme.
- To give priority to emergency cases and to co-ordinate with the consultants / respective department for the same.
- To maintain appropriate departmental documentation.
- To treat all communication about patients, staff, and other organizational business confidentially.
- To be involved in quality Assurance / Quality control activities.
- To perform all the jobs as may be assigned due to exigencies of work.
- Participation in Continuous Quality Improvement.
- Ensure invoice is done without any delay.
- Also, need to ensure that the Invoice is submitted to the respective payers on time.
- Payment follow up religiously and ensure that the DSO is maintained as per the credit terms signed during empanelment

📌 Executive - Billing Tpa (Rajouri Garden)
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