AGM|DGM BILLING

Responsibilities & Accountabilities:

General Operations:

· Analyzing & monitoring deviations in MIS like Product wise revenue, average realizations of products, impact & root cause analysis of certain operational activities. Based on these formulate strategies for EBITA & operations.

· Monitor cost reduction, profitability and departmental operational efficiency.

· Ensure appropriate authorization and validity period (time limit, terms, authority for issue of the letter, ceiling limit, hospitalization period, outer limit, etc.).

· Handle and resolve grievances that arise from corporates and TPAs, such as disallowances, queries from TPAs and corporates etc.

· Prepare monthly review presentation to present and discuss with Management.

· Any other job assigned by Superiors as per exigencies of work.

· Agreements with Legal team for finalizing the financial terms and conditions for credit parties and process for tie up with new companies & TPA for watch over in reduction in credit period, profit maximization.

· Monitoring timely Renewal of agreements.

· Understanding on various government credit tie ups like CGHS and public sector organizations.

· Work with supply chain department team for maximization of product profit or cost reduction.

· Manage the P&L, budget utilization and operational performance of the center, including billing, collection and insurance processing, monthly outstanding & cash flow management.

· Responsible for good rapport with corporate clients, patients, TPAs, doctors and public.

· Coordinate with Corporate, TPAs & Insurance companies for timely recovery / receipt of outstanding.

· Co-ordination with Marketing, Consultants in setting up package billing protocol.

· Ensure all statutory requirements are up to date.

· Work on new revenue streams or product development, costing, pricing, consultant management etc.

· Monitoring of QI and quality assurance program of department such as waiting time for each patient. Updating the daily dashboard and monthly submission before 5th of every month.

· Conduct quality assurance of departmental operations every month and technical requirements fulfilled as per frequency.

· Schedule team meetings are on set frequency and the outcomes of the meetings are implemented. Ensure internal and external peer reviews are conducted. Appropriate RCA and CAPA for discrepancies outliers is conducted and implemented.

· Ensure implementation and execution of group policies and SOP's.

· Direct & ensure streamlining processes and systems for the delivery of services within the department to ensure professional and seamless service delivery through training of staff.

· Ensure the efficient utilization of the current staff. Manage leaves and daily duties accordingly to ensure appropriate coverage for routine and emergency

Required skill sets:

· Excellent communication skills - both written and verbal in English and Hindi is desirable

· Excellent team player with a commitment to team building. Motivates and supports peers and team where appropriate

· Outstanding listening, consulting, facilitation and diagnostic skills

· Liaisoning and representation skills

· Problem solving, decision making and delegation skills

· Ability to prioritize and manage conflicting priorities