Sr. Executive / Am - Ipd Billing & Tpa (deduction Recovery) @ Max Healthcare

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

Job Classification

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   IPD Billing TPA Billing Recovery Operations Recovery Management Insurance Claims