Deputy Duty Manager - TPA

maxhealthcare

Posted: 1 day ago

8-15 years

Vaishali-Max Super Speciality Hospital, Vaishali, Cluster 2, Ghaziabad, UTTAR PRADESH, India

work from office

Full Time

Closes 11 Jan 2027

Posted: 1 day ago

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Job Description

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 professional 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.

Skills

ReconciliationTraining And DevelopmentInventory ManagementCommunicationProblem SolvingNursing

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About Company

Max Healthcare Institute Limited is one of India's leading providers of healthcare services, operating a network of world-class hospitals and medical centers.

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