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)
