TPA Manager

verified

4 - 8 Years of Experience rupess outline icon

3.25L - 9.00L Per Annum time outline icon

Full Time

Maxivision Eye Hospitals Private Limited, Rajkot

time outline icon Rajkot, Gujarat, India

Posted on 19-09-2023

600 Views

1 Vacancy

Description

Business development: - Tariff renewals with TPA / Insurance / corporate management as per the company policies / revenue calculations.
Empanelment process – New agreements with Insurance / TPA’s / Corporates, Compliance activities to be completed for new branch openings / any pending renewals for existing centres with the support from HO.
Ensure Credit billing team is in place in every centre. Close Co-ordination with Billing / Insurance / Compliance / operation / centre team for smooth functioning of the pending activities.
Monitoring the Daily reports and ensuring that the correct data is maintained.
Ensure regular training on billing process with updated information.
Supporting and resolving billing queries raised by billing team at Local centres & JV.
Regular visits to the centres and clearly monitoring.
Maintaining a good relationship with the Insurance & Corporates.
Regular Visits to Corporates / Insurance / TPA’s.
Ensuring correct billing to corporates as per the package and eligibility to avoid disallowances.
Ensuring timely submission of the credit bills to Insurance & corporates as per process.
Ensuring in timely recovery of the same as per the TAT, following up for the queries raised, resolving the same timely and follow up till the payment is under process.
Reconciling the same with accounts and ensure to identify the received credits on time and adjusting in Tally time to time.
Also following up for disallowances if any and ensuring in collecting the same.