TPA Executive + Admin

Job Description:
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.