Experience

HealthCare Global

• India
• Hospitals and Health Care
• 300 - 400 Employee

• Associate Manager Credit Patient Department

  • Sep 2023 - Present



Shalby Limited

• India
• Hospitals and Health Care
• 700 & Above Employee

• Executive Mediclaim Receivable

  • Jun 2021 - Jul 2023

   Ensuring recovery of outstanding payments from various TPA, Corporate PSUs, and Government.  Ensuring visit & meeting to TPA, Corporate PSUs, and Government for payment follow-up.  Ensuring Email & Telephonic communication for payment follow-up  Ensuring received payment to settle in system on daily basis.  Ensuring check case wise Claim status on respective portal.  Ensuring check excess billing & wrong deductions.  Ensuring post… Show more  Ensuring recovery of outstanding payments from various TPA, Corporate PSUs, and Government.  Ensuring visit & meeting to TPA, Corporate PSUs, and Government for payment follow-up.  Ensuring Email & Telephonic communication for payment follow-up  Ensuring received payment to settle in system on daily basis.  Ensuring check case wise Claim status on respective portal.  Ensuring check excess billing & wrong deductions.  Ensuring post discharge TPA, Corporate PSUs, and Government queries within timeline.  Maintain the daily and monthly basis MIS (Monthly Investigation system).  Taking Strong follow-up for Rejected & Old cases to try recovered the payment.  Ensuring balance payment TAT as per Company MOU.  Ensuring check pending UTR for settlement.  Ensuring check & audit corporate bills & file before submission.  Ensuring all bills post discharge dispatched to the concerned insurance / corporate with their stipulated time.  Giving training to the newly joined employees. Show less  Ensuring recovery of outstanding payments from various TPA, Corporate PSUs, and Government.  Ensuring visit & meeting to TPA, Corporate PSUs, and Government for payment follow-up.  Ensuring Email & Telephonic communication for payment follow-up  Ensuring received payment to settle in system on daily basis.  Ensuring check case wise Claim status on respective portal.  Ensuring check excess billing & wrong deductions.  Ensuring post… Show more  Ensuring recovery of outstanding payments from various TPA, Corporate PSUs, and Government.  Ensuring visit & meeting to TPA, Corporate PSUs, and Government for payment follow-up.  Ensuring Email & Telephonic communication for payment follow-up  Ensuring received payment to settle in system on daily basis.  Ensuring check case wise Claim status on respective portal.  Ensuring check excess billing & wrong deductions.  Ensuring post discharge TPA, Corporate PSUs, and Government queries within timeline.  Maintain the daily and monthly basis MIS (Monthly Investigation system).  Taking Strong follow-up for Rejected & Old cases to try recovered the payment.  Ensuring balance payment TAT as per Company MOU.  Ensuring check pending UTR for settlement.  Ensuring check & audit corporate bills & file before submission.  Ensuring all bills post discharge dispatched to the concerned insurance / corporate with their stipulated time.  Giving training to the newly joined employees. Show less



AARON HOSPITALS PRIVATE LIMITED

• India
• Hospitals and Health Care

• Senior Executive TPA - Billing

  • Jan 2021 - Apr 2021

   Managing entire TPA & Billing Operation of the entire hospital.  Apply for pre-authorization form and necessary consent forms.  Forwards the completed forms to the concerned TPA by mail or portal within 24 hours of hospitalization of the patient.  Active responds any query / additional information asked by the concerned TPA regarding the treatment of patient.  Maintaining good interpersonal relation with Insurance companies and patient… Show more  Managing entire TPA & Billing Operation of the entire hospital.  Apply for pre-authorization form and necessary consent forms.  Forwards the completed forms to the concerned TPA by mail or portal within 24 hours of hospitalization of the patient.  Active responds any query / additional information asked by the concerned TPA regarding the treatment of patient.  Maintaining good interpersonal relation with Insurance companies and patient /attendant.  Ensuring post discharge insurance queries within timeline.  Ensuring TPA Tie-up & Renewal.  Ensuring recovery of outstanding payments from various TPA & Insurance.  Ensuring Billing posting doctor visit or Investigation.  Ensuring Cash & Credit Billing discharge. Show less  Managing entire TPA & Billing Operation of the entire hospital.  Apply for pre-authorization form and necessary consent forms.  Forwards the completed forms to the concerned TPA by mail or portal within 24 hours of hospitalization of the patient.  Active responds any query / additional information asked by the concerned TPA regarding the treatment of patient.  Maintaining good interpersonal relation with Insurance companies and patient… Show more  Managing entire TPA & Billing Operation of the entire hospital.  Apply for pre-authorization form and necessary consent forms.  Forwards the completed forms to the concerned TPA by mail or portal within 24 hours of hospitalization of the patient.  Active responds any query / additional information asked by the concerned TPA regarding the treatment of patient.  Maintaining good interpersonal relation with Insurance companies and patient /attendant.  Ensuring post discharge insurance queries within timeline.  Ensuring TPA Tie-up & Renewal.  Ensuring recovery of outstanding payments from various TPA & Insurance.  Ensuring Billing posting doctor visit or Investigation.  Ensuring Cash & Credit Billing discharge. Show less



HCG Hospitals, Ahmedabad

• India
• Hospitals and Health Care
• 300 - 400 Employee

• TPA Executive

  • Nov 2018 - Dec 2020

   Ensuring recovery of outstanding payments from various TPA, Corporate PSUs, and Government.  Ensuring visit & meeting to TPA, Corporate PSUs, and Government for payment follow-up.  Managing entire TPA & Billing Operation of the entire hospital.  Apply for pre-authorization form and necessary consent forms.  Forwards the completed forms to the concerned TPA by mail or portal within 24 hours of hospitalization of the patient.  Active responds… Show more  Ensuring recovery of outstanding payments from various TPA, Corporate PSUs, and Government.  Ensuring visit & meeting to TPA, Corporate PSUs, and Government for payment follow-up.  Managing entire TPA & Billing Operation of the entire hospital.  Apply for pre-authorization form and necessary consent forms.  Forwards the completed forms to the concerned TPA by mail or portal within 24 hours of hospitalization of the patient.  Active responds any query / additional information asked by the concerned TPA regarding the treatment of patient.  Maintaining good interpersonal relation with Insurance companies and patient /attendant.  Ensuring post discharge insurance queries within timeline.  Ensuring TPA & Corporate New Tie-up & Renewal IPD, OPD & Health Check-up.  Ensuring recovery of outstanding payments from various TPA Corporate & Government.  Ensuring check case wise Claim status on respective portal. Show less  Ensuring recovery of outstanding payments from various TPA, Corporate PSUs, and Government.  Ensuring visit & meeting to TPA, Corporate PSUs, and Government for payment follow-up.  Managing entire TPA & Billing Operation of the entire hospital.  Apply for pre-authorization form and necessary consent forms.  Forwards the completed forms to the concerned TPA by mail or portal within 24 hours of hospitalization of the patient.  Active responds… Show more  Ensuring recovery of outstanding payments from various TPA, Corporate PSUs, and Government.  Ensuring visit & meeting to TPA, Corporate PSUs, and Government for payment follow-up.  Managing entire TPA & Billing Operation of the entire hospital.  Apply for pre-authorization form and necessary consent forms.  Forwards the completed forms to the concerned TPA by mail or portal within 24 hours of hospitalization of the patient.  Active responds any query / additional information asked by the concerned TPA regarding the treatment of patient.  Maintaining good interpersonal relation with Insurance companies and patient /attendant.  Ensuring post discharge insurance queries within timeline.  Ensuring TPA & Corporate New Tie-up & Renewal IPD, OPD & Health Check-up.  Ensuring recovery of outstanding payments from various TPA Corporate & Government.  Ensuring check case wise Claim status on respective portal. Show less



VOGO events

• Ahmedabad, Gujarat, India

• Event Supervisor

  • Jan 2018 - Nov 2018

  Events Management Events Management