Recovery Manager - Continental Hospital, Jagdalpur, Job Vacancy
Job Description
JOB SUMMARY We are looking for an experienced Recovery Executive responsible for timely recovery of hospital dues from insurance companies, TPAs, Ayushman Bharat/PM-JAY, and other government health schemes. KEY RESPONSIBILITIES • Follow up and recover pending insurance, TPA, and government scheme claims. • Handle Ayushman Card/PM-JAY claim and recovery processes. • Track pending, rejected, queried, deducted, and settled claims. • Coordinate with insurance companies, TPAs, government scheme authorities, and hospital departments. • Resolve claim queries, documentation issues, rejections, and short settlements. • Maintain claim ageing, outstanding, and recovery reports. • Ensure timely submission, follow-up, reconciliation, and settlement of claims. • Achieve assigned monthly recovery targets. REQUIRED SKILLS • Strong knowledge of hospital insurance and TPA processes. • Practical knowledge of Ayushman Bharat/PM-JAY and government health schemes. • Good understanding of hospital billing and claim documentation. • Strong communication, follow-up, negotiation, and coordination skills. • Good working knowledge of MS Excel. PREFERRED EXPERIENCE • Minimum 6 years of experience in hospital insurance, TPA, billing, claims, or recovery. • Experience with Ayushman/PM-JAY claims will be strongly preferred. Note: The Management reserves the right to modify, amend, or change the responsibilities, duties, and requirements mentioned in this Job Description based on organizational needs and operational requirements.Location
Jagdalpur, Jagdalpur, Chhattisgarh, India 494442Qualification
MHA Master of Health Administration, MBADepartment
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