Sr. Executive / AM - IPD Billing & TPA (Deduction Recovery)

Job Description

Job Title AM / DM (Health Insurance Administration & Receivables) Sales & Marketing Role & responsibilities The role holder will be responsible for managing Insurance/TPA deductions, including recovery, liaison with TPA/ insurance companies, deduction target setting, deduction trend analysis, target achievement, and resolving client billing/ pricing queries. Detail understanding of Insurance/ TPA billing. Deduction reconciliation with internal & external customers Deduction tracker preparation and regular updating Deduction Follow up and timely recovery of TPA outstanding deductions Focusses on identifying Process gaps related with TPA billing. Constant interaction with Pricing Cell, IP Billing and Finance Team of all Max Units for deduction observations. Develop and implement deduction collection strategies to minimize deductions. Prepare monthly reports on deduction metrics including receivable status, aging analysis, deduction trends, deduction revenue and billing errors. Address client queries and concerns related to deduction billing and payments effectively. Analysis deduction trends and provide insights to management for decision-making. Liaison with TPAs & Insurance key persons and relationship Building Identify areas for improvement within the deduction receivable process. Deduction Target Achievement Any other departmental task assigned by HOD from time to time. Measurable Deliverables Deduction Target Achievement Deduction Trend Analysis. Actionable taken to reduce deductions Good Typing Speed. Preferred candidate profile Graduate Preferably with 2 to 5 years of experience in Healthcare of handling TPA / Insurance channel. Perks and benefits As per company policy