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Job Description

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

DRESS CODE : SPECIFIED DRESS CODE WITH I.D. CARD

DUTY HOURS : AS PER SCHEDULED REQUIREMENTS

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

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Job ID: 144969293