JOB DESCRIPTION

I. JOB DETAILS

Job Title

Deputy Duty Manager (TPA) - Front Office

Reporting Supervisor

Head - Front Office

II. JOB PURPOSE

To efficiently perform assigned TPA work including management of overall TPA process, ensuring smooth and hassle free discharge of TPA patients.

III. KEY RESPONSIBILITIES

Core Responsibilities -

- To be responsible for maintaining TPA Processing of cashless and all post discharge health insurance claims.
- To be responsible to maintain overall TAT entry to exit.
- TPA query reply and preauthorisation follow up with insurance company / tpa.
- Medical scrutiny and medical opinion for health insurance claims.
- Efficient in claim adjudication and claim processing.
- Maintaining and ensuring Standard Operating Procedures and protocols.
- To be responsible for keeping record for all correspondence done for TPA.
- Post discharge reconciliation for utilization of claims.
- Timely reply to internal TPA complaint portal.
- TPA discharge follow up and closure.
- Mmaintenance of departmental records as per the NABH requirement.
- Effective utilization of hospital information system, MIS generation of TPA patients.
- To display proactive cooperation and contribute to cordial inter and intra team relations, solution orientation and team solidarity. Should be cost effective.




- To participate in training programs to maintain and update your skilled knowledge.
- To achieve high levels of customer satisfaction at each interaction.
- Any task assigned to you by your HOD from time to time.

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IV. KEY PERFORMANCE INDICATORS

Measurable Deliverable s

- Accuracy in invoicing / billing
- Demonstrated ability to maintain confidentiality
- Service Excellence
- Active participation in all departmental training and development activities.
- Active participation in Inventory Management.

V. JOB REQUIREMENTS

Minimum Qualifications

Graduate/Post Graduate

Experience

7 - 9 years of relevant experience.

Technical Skills

- Problem solving and ingenuity
- Computer skills

Behavioural Skills

- Persuasive
- Attention to detail
- Interpersonal and communication skills
- Initiative and adaptability

Language Skills

- English
- Hindi

VI. KEY INTERACTIONS

Key Internal Contacts

Key External Contacts

- Medical Superintendent, Nursing.
- Front office, Billing, IT, Finance, All HODs.
- Doctors.

- TPA/Insurance Companies, Other Panel Organization.
- Patients, Attendants.

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This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 Deputy Duty Manager - TPA (Ghaziabad)
🏢 Max Healthcare
📍 Ghaziabad