AM/DM - Deduction Recovery - TPA

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