Job Views:  
454
Applications:  48
Recruiter Actions:  11

Job Code

1370108

Head - Cashless & TPA - Healthcare Industry

10 - 15 Years.Mumbai
Posted 9 months ago
Posted 9 months ago

Job Responsibilities :

- Responsible for TPA Empanelment's for the Existing as well as Upcoming Centres.

- Responsible to ensure timely renewal of empanelment's with GIPSA/ Insurance Companies

- Responsible for proper price negotiation with GIPSA & Insurance companies

- Responsible for streamlining cashless process, design, develop and improve standard operating procedures pertaining to claims operations.

- Responsible to strengthen the claim operations by streamlining billing operations (Financial collections, deductions, timely clearance of Insurance cases and intervene in denial cases

- Responsible to build relationship with TPA's and TPA associated corporates.

- Responsible to maintain center wise database on Insurance empanelment's.

- Ensure regular visits to Centres and perform ongoing audit checks on claim submissions, denials, clearance for each center.

- Responsible to publish reports and Dashboard for periodic management reviews (Analysis Cash Vs Credit), (GIPSA Vs Insurance Cases)

- Responsible for facilitating camps with corporate for business enhancement.

- Responsible for other projects and assignments as assigned time to time basis part of the job role.

Functional Competency :

- Prior experience on working with TPA/GIPSA/Institutions

- Strong collaborative ability to sustain relationships within the organization & externally.

- Strong networking skills

Didn’t find the job appropriate? Report this Job

Job Views:  
454
Applications:  48
Recruiter Actions:  11

Job Code

1370108

UPSKILL YOURSELF

My Learning Centre

Explore CoursesArrow
Apply on the go!

Download the iimjobs app to
apply for jobs anywhere, anytime

apple

Download on

App Store

playStore

Get it on

Google Play

appPromoQr

Scan to Download