TPA Executive + Admin

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.