TPA Manager

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TPA Manager

verifiedwork outline icon4 - 8 Years of Experiencerupess outline icon3.25L - 9.00L  Per Annumtime outline iconFull Time

Maxivision Eye Hospitals Private Limited, Rajkot

time outline iconRajkot, 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. 

Category

Administration / Management

Preferred Education

MBA / PGDM

Key Skills

Attention to DetailProblem Solving SkillsDecision MakingTPA

Benefits

    PF, OT, Mobile & Internet Reimbursement, Bonus, Leaves, Leaves Enchasment.

Contact Info

Address:

Rajkot, Gujarat, India