Mediclaim Department - NARAYANI HOSPITAL NASHIK - Nashik
(2024-11-15)
TPA EXECUTIVE - Mediclaim Department - JAIRAM Hospital and Research Center
(2022-03-11 - 2024-07)
Hospitla Insurance TPA Desk
- Collect policy document from patient
- Explain to patient all cashless process
- Pre-auth form fill-up form Medical officer
- Scan and upload patient all document (e.g. Pre-auth form, IPD, Investigation doc)on portal or email
- co -ordinate with insurance company related to all query reply
- co-ordinate with patient, Consultant, RMO for patient approval
- Collect discharge file from patient ward
- Follow up and collect from medical/Lab/ other department of patient bills
- Make Discharge bill into HMS Hospital billing software
- scan /upload bill and send to company on portal or email
- Co-ordinate and explain all discharge process with patient
- Check discharge approval letter and explain to patient approval and deduction amt
- Maintain patient payment and refund amt
- Check and scan all document patient discharge file
- Upload document all insurance on portal/ email
- Send hard copy of final claim document of courier
- Maintain Registered all patient entry
- Dr. Payment Register entry
- Daily monthly Dr. payoff Done/ Maintain excel sheet
- Dr. payment details give to Account department
- Payment Follow-up with insurance company
- Follow-up with companies' final claim settlement Letter
- Payment received details maintain in register(e.g.- Neft, Net amt, TDS UTR)
- Attend all phone calls related to Insurance claims
- Resolved Queries related to patient/insurance company
SR. Executive – Accounts Payable/Accounts Receivable - Datamatics Global Service Ltd, Nasik - Nasik
(2016-05-16 - 2020-01-21)
8 year's worked experience in Accounts payable and Accounts Receivable. Worked for Domestic Client -Kirloskar oil And Engine Co. Ltd, and Voltas.
- Worked on multiple process- Certified/Freight/Travel claim/GRIR
- Index data in (IQ software) intercompany software
- Indexing all important data mention on Invoice in IQ. (e.g.- Inv No, Date, PO, Amt, GST, Vendor No, Address)
- Check all indexing data of multiple types Invoices accurately or not
- Verify the bill- PO/ Non PO
- Check PO Copy/Agreement/Rate cad/Quotation and supporting doc
- Check Queue –Duplicate /Scan reject /vendor query / vendor resolution
- Check GL Coding details, Authorization sign stamp
- Check GST - Credit Recoverable/Non-Recoverable/RCM
- Check TDS-Rate/Section
- Check Bill send to proper approval person
- Check Physical hard copy of Inward/outward freight bill match with system copy
- Check Rate card
- Create debit note for Late delivery charges/Damages
- Pull report from I-expenses tool in Oracle
- Verify Employee Reimbursement claim as per supporting and policy
- Verify all index GRIR bill as per policy
- Check NO Bill Hold in system
- TDS apply /TDS remove as per Inv
- RTV / Line rejection Debit note
- Both PO and Non PO bill processed in oracle software
- Match PO (2 way /3 way matching)
- Check invoice hold (Price, Qty Ord & receive, quality)
- Processed Vendor Debit Note/Credit note
- Invoice send to proper Approval
- Validate Vendor Invoice, Debit note, RTV/LRDN Debit note
- Check TDS- section/Rate, Tax exemption
- Check prepayment
- Help to supervisor for month/Year end closing
- Help in taking bills on hand provisions and JV
- Completing invoice within turnaround time (TAT)
- Co-ordinate with Team member Supervisor, TL, Managers
- Training given to new team member
