Silver Streak Multi-Speciality Hospital is seeking a detail-oriented and experienced TPA Manager to lead and streamline the hospital’s Third-Party Administrator (TPA) operations. The ideal candidate should have minimum 5 years of experience in a TPA cell within a hospital setting and be well-versed in handling the complete cycle of patient approvals, claims processing, reconciliations, and recovery follow-ups. The role also involves coordination with insurance companies, empanelment of new TPAs, and ensuring timely collections and documentation.
महत्वपूर्ण जिम्मेदारियाँ:
- Oversee the end-to-end TPA process, including patient pre-authorization, final approval, and billing coordination.
- Liaise with various insurance companies and TPAs to ensure smooth communication and claim settlement.
- सँभालना reconciliations and timely follow-ups for outstanding payments and shortfalls.
- Monitor turnaround time for approvals, and ensure minimal delays in patient discharge processes.
- Maintain accurate and updated documentation for all TPA-related interactions and audits.
- Coordinate with clinical and non-clinical departments to ensure complete and compliant claim submissions.
- Prepare and share regular MIS reports and dashboards related to TPA collections, rejections, and receivables.
- Manage and onboard new TPAs, corporates, and insurance panels for expanding the hospital’s network.
- Address queries from patients and insurers with professionalism and clarity.
कौशल एवं योग्यताएं:
- Graduate in any discipline; additional qualifications in Hospital Administration or Healthcare Management are preferred.
- न्यूनतम 5 years of relevant experience in the TPA department of a hospital.
- Strong understanding of TPA protocols, insurance guidelines, and hospital billing systems.
- Excellent communication and negotiation skills to handle insurance partners and patients.
- Proficiency in MS Excel, hospital information systems (HIS), and TPA software.
- Ability to manage time-sensitive processes under pressure with high attention to detail.
- Knowledge of relevant statutory regulations, including IRDA guidelines.
पसंदीदा विशेषताएँ:
- Prior experience handling multiple TPAs and insurance providers.
- Strong analytical skills with a proactive approach to recovery and reconciliation.
- Ethical, process-driven, and focused on continuous improvement.
- A team player who can also independently take ownership of key functions.
हमसे क्यों जुड़ें?
- Be part of one of the region’s leading multi-speciality hospitals with a strong TPA and corporate network.
- Opportunity to manage critical revenue functions and contribute to financial health.
- Work in a system-driven environment with opportunities for professional growth.
Job Title: TPA Manager
विभाग: Accounts and Billing
जगह: Silver Streak Super Speciality Hospital
के लिए समाचार - लेखन: Billing Manager
आवश्यक अनुभव: न्यूनतम 5 वर्ष
योग्यता: Graduate in any discipline; preference for candidates with a background in healthcare administration or billing department
नौकरी का प्रकार: पूरा समय
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