Associate/ Deputy General Manager

Job Title: Associate/ Deputy General Manager (Health Insurance Administration & Receivables) Sales & Marketing

Reporting Supervisor : AVP & Head - Receivables & Insurance Relationships Sales & Marketing

JOB PURPOSE: To centralize, administer, and monitor the health insurance / TPA process & credit sales & Collection channel PAN MAX.

KEY RESPONSIBILITIES

• Responsible for TPA / Insurance Empanelment & renewals of contracts.
• Responsible for periodical tariff revision & price negotiation with private & GIPSA insurance companies.
• Responsible for timely recoveries of TPA Credit sales. (Collection & Deduction Recovery)
• Liaoning with TPAs & Insurer key persons and relationship building.
• Responsible for Rejection & Deduction follow ups.
• Responsible for account reconciliation with internal & external customers.
• Regular record updating of Insurance & Deduction Tracker
• Periodic review of individual and departmental performance.
• Defining the organizational goals, strategies, setting of internal monthly targets for collection & deductions.
• Monitor, administer & training of the centralize team.
• Regular visits & meeting with internal customers of the group such as TPA Desk, Finance & Accounts, Front Office, and Bill Dispatch Departments; ensuring smooth functioning of the TPA Process.
• Performing troubleshooting during cashless approvals and pre & post-discharge of the patients for all units
• Ensuring group s timely dispatch of credit invoices for payment recoveries
• Reconciling accounts with all TPAs, Insurance Companies, and internal Finance Teams
• Directing on-account (NEFT) settlement for ensuring timely settlement of NEFT payments, creating departmental MIS, reports, and presentations pertaining to TPA revenue, debtors aging, collection, deduction, old payment & NEFT (on-account) settlement for periodic review of team with higher management
• Following-up for deduction and rejection of the TPA claims; reviewing & analyzing Debtor Ageing and Daily Collection Reports
• Monitoring day to day work of team on receivable software i.e. Eprapti.
• To define and set the centralized TPA process.
• Motivating the team and responsible for high team morale.

KEY PERFORMANCE INDICATORS

Collections Target Achievement.

Deduction Target Achievement.

Empanelment/s & Renewals of contracts.

Revision of Tariffs.

On Account Payment Settlement

Cashless Troubleshooting

Insurance Debtors Ageing

JOB REQUIREMENTS

MBA/ Graduation

Experience

Preferably with 06 to 10 years of experience in Healthcare of handling TPA / Insurance channel.

Behavioural Skills

Strong Interpersonal skills and conflict resolution ability

Extremely strong Networking Skills

Good Organization and Planning Skills

Strong Relationship Management Skills

Strong focus on performance and Service Excellence

Technical Skills : Domain Knowledge

Language Skills: English, Hindi

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