Manik Thakur

Intend to build carrier with leading corporate of hi-tech environment with committed & dedicate people, which will help me to explore myself fully & realize my potential willing to work as a key player in challenging & creative environment.

ASSISSTANT MANAGER TPA & AYUSHMAN DEPARTMENT at KDSG SUPER-SPECIALITY HOSPITAL PVT LTD. (Present)

ASST. MANAGER TPA & BILLING DEPARTMENT GOVT. PANEL at PRAKASH HOSPITAL PVT LTD.

Handle with CGHS, ECHS, BHEL ESI OPD BILLS SUBMITTED IN PORTEL AND ALL PANAL CASES

• Manage admission and discharge insurance formalities efficiently and accurately.
• Coordinate with TPAs for timely cashless approvals, authorizations, and pre-approvals.
• Handle insurance documentation, claims processing, billing support, and follow-up with TPAs.
• Assist patients and their attendants with insurance queries, required documents, and process guidance.
• Maintain updated records of all insurance-related approvals, queries, and claim documentation.
• Coordinate closely with the billing, front office, and medical teams to ensure smooth discharge procedures.
• Maintain accurate records of patient payments and balances.
• Provide excellent customer service to patients and their families.
• Processing Online and offline opd bill send to portal document
• Intimation to Portal CGHS. ECHS and ESI.
• Making data monthly offline Govt panel ca

Sr. Supervisor TPA DEPARTMENT & GOVT. PANEL at RLKC HOSPITAL & METRO HEART INSTITUTE (2023-12-16 – 2025-10-15)

Handle with CGHS ECHS AND AYUSHMAN ALL PANAL CASES

• Processing Entry with document send to Portal CGHS. AYUSHMAN and ECHS.
• Coordinate the patient and attend with credit permission and explain all document required with cashless facility.

TPA (In charge) at Shree Jeewan Hospital New Rohtak Road Karol Bagh (2021-01 – 2023-12)

• Coordinate the patient and attend with TPA permission and explain all document required with cashless facility.

Business Unit Marketing (Sr. Supervisor) at Fortis Health Management (North) Ltd. Fortis Hospital (2011-01 – 2016-12)

Responsible for the overall operations, Customer Services in TPA and Coordinating Medical Insurance cases.

• TPA- Responsible for coordinating Insurance claims (sending and receiving) with Insurance companies on behalf of patients and hospital.
• Making data entry for patients.
• Building up Relation Ship with Client.
• Making list of corporate patients on daily basis.
• Implementation of SOP for smoothing the claim process.
• Doing back office work of TPA management.
• Responsible for the overall operations, Customer Services in TPA.
• Solve the query patient & all, tpa day to day.
• Preparation of Daily Mastersheet

Sr. Billing Executive & TPA (As a In charge) at Primus Super Speciality Hospital, Delhi (2010-03 – 2010-12)

• Responsible for day to day - OPD & IPD Billing & Cash
• Co-ordination with TPA's for day to day cashless activities.
• Ensuring dispatch of Complete set of documents for processing to TPAs.
• Ensuring customer delight with faster & hassle free admissions
• Preparation of Daily MIS

Out Patient Department Executive (OPD) & Third Party Administrator (TPA Assistant) at City Hospital (Affiliated with Sir Ganga Ram Hospital) (2008-09 – 2009-12)

• Responsible for Customer Services, attending walk in patients VIP/attendants in OPD.
• Managing Enquiry / Query resolution for patients /attendants walk INS.
• TPA- Responsible for coordinating Insurance claims (sending and receiving) with Insurance companies on behalf of patients and hospital.
• Maintained patients, their health/sickness history etc.
• Managed the Reception Desk for enquirers, information Admission and all other related jobs.
• Taking care of cash collection, making and maintaining all the related reports for the doctors, day to day dealings with the incoming and outgoing patients.
• Taking care of all the billing relating to the patient.
• Was responsible for making various reports.
• Making data entry for patients.
• Building up Relation Ship with Client.
• Making list of Corporate patients on daily basis.
• Implementation of SOP for smoothing the claim process.
• Doing back office work of TPA management.

Executive in Cashless & Enrollment Department at Alankit Healthcare Limited (2008-01 – 2008-08)

Asst. Supervisor Customer Care at Medicare TPA Services (I) Pvt.Ltd. (2007-01 – 2007-12)

Computer Operator & Tele caller at Tata AIG General Insurance, JMD Company (2005-03 – 2006-11)

B.A – University of Delhi (2007 – 2010)

Class XIIth – B.D.A.G. Sr. Sec. School, Delhi (2003 – 2004)

Class Xth – B.D.A.G. Sr. Sec. School, Delhi (2001 – 2002)