TPA Executive Admin

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We are seeking a proactive and efficient TPA Executive + Admin to manage and coordinate various activities at the hospital with cashless facilities. The ideal candidate will have experience in hospital administration, customer service, and insurance/TPA management. The role requires managing day-to-day operations, ensuring smooth functioning, and providing excellent service to patients and their families.

• Key Responsibilities:
• Hospital Management:
• Oversee the operations of hospital with cashless facilities.
• Ensure smooth interaction between patients, hospital staff, and the TPA network.
• Team Leadership:
• Supervise and manage a team as the Front Desk In-Charge.
• Ensure the team is properly trained and efficient in their roles.
• Customer Interaction:
• Attend to patients and their relatives, providing assistance and guidance as required.
• Address patient queries and concerns promptly and effectively.
• Inbound Call Management:
• Handle inbound calls and forward them to the appropriate department or person as needed.
• Courier Dispatch Management:
• Oversee and manage the inward and outward dispatch of couriers in a timely manner.
• MIS Reporting:
• Maintain detailed MIS reports of patient registrations, admissions, and follow-ups.
• Ensure the accuracy and timeliness of all records.
• Quality Maintenance:
• Monitor the quality of services provided by the hospital team and ensure they align with organizational standards.
• Event Coordination:
• Coordinate with the staff for organizing meetings, conferences, and events, including arranging refreshments and meals.
• Arrange seminars and camps, collaborating with doctors, lab technicians, and other relevant personnel.
• Billing & Cashless Services:
• Handle both IPD (Inpatient Department) and OPD (Outpatient Department) billing processes.
• Manage cashless billing and settlements with the relevant authorities and insurance providers.
• TPA & Mediclaim Management:
• Handle all TPA and mediclaim work, from pre-authorization to settlement.
• Coordinate with insurance companies and ensure smooth processing of claims.
• HR & Admin Responsibilities:
• Coordinate HR and admin-related tasks, including job postings, screening of candidates, and salary calculation.
• Strong organizational and Leadership skills, Communication, TPA & Mediclaim Management.