TPA

Role & responsibilities

I. JOB DETAILS

Job Title

TPA

Reporting Supervisor

Head Front Office

II. JOB PURPOSE

To generate and maintain systems, to efficiently manage Front Office responsibilities and to achieve high standards of efficiency and customer satisfaction.

III. KEY RESPONSIBILITIES

• Patient/ Customer Care

• 1. To resolve day to day patients / visitors complaints and manage the total Customer Experience Questionnaires dissemination process.
• 2. To be able to handle Patients, their Attendants and Families including VVIPs

• 3.

  To efficiently run departmental operations with maximum degree of Patient Centricity.
• 4. To be available at functional areas for Patient contact at all duty hours

• Process Orientation/ Documentation

• 4. To effectively implement policies, procedures through Front Office personnel.
• 5. To daily supervise front office services and staffing.
• 6. To ensure accurate patient invoicing, billing, refunds etc. and resolves all problems associated with patient billing.
• 7.To have complete orientation of Operating software of Hospital.
• 8. Comply with the service quality Process, environmental & occupational issues & policies of the respective area.
• 9. To have complete Awareness about Disaster Management Programme (DMP) of the hospital.

• People Orientation

• 10. To ensure efficient functioning of Front Office personnel/ processes/ systems.
• 11. To ensure FO Teams awareness and readiness towards emergency patient handling roles.
• 12. To coordinate with diagnostic and treatment activities to achieve high customer satisfaction levels with services.
• 13. To coordinate with medical staff and other departments on behalf of Front Office Team.

• Cost & Revenue

• 14. To effectively utilize Hospital Information System, EPABX system and other software provided,
• 15. To be aware and develop cost efficient operations for the Department

• Discipline

• 16. To conduct & coordinate training programs for front office team on process, policy & services.
• 17. To be well groomed, punctual & adhere to company policies and practices.

IV. KEY PERFORMANCE INDICATORS

• IPD Bill dispatch TAT within 4 days in 90% cases. IP patient satisfaction scores for billing above MHC targets.
• 95% Compliance with planned training by the department.
• Less than 1% error in billing and payment recovery.
• Need to work upon the estimate accuracy & tagging part also.
• TPA pre auth sent, query reply timely, Estimate preparation & during the discharge help the team members.
• Prepare TPA tracker & Denial tracker of the patients.

V. JOB REQUIREMENTS

Minimum Qualifications

• Graduation. Preferably with PG Diploma in Hospital Management.

Experience

• 4-6 years of healthcare experience in the relevant work.

Language Skills

• English
• Hindi

Behavioural Skills

• Lead by example
• Progressive attitude
• People management
• Self motivated

VI. KEY INTERACTIONS

Key Internal Contacts

Key External Contacts

• Head- Front Office
• All Departments
• Patients and Customers
• In-room Patients and attendants
• External Service Providers