Posted By
Posted in
SCM & Operations
Job Code
1370108
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
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Posted By
Posted in
SCM & Operations
Job Code
1370108
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