Bablu D. Andhwan
Bhopal
Summary
To contribute best of my knowledge, skill and ability in the growth of the organization where I will be working and also attain new height in my field of work.
Overview
12
12
years of professional experience
Work History
CLAIMS AND TPA MANAGER
The County hospital and Research centre
Bhopal
06.2024 - Current
ASST. MANAGER
Lalit Geetanjali Makan Hospital
Mandideep
11.2021 - 05.2024
- TPA Relationship and Insurance work
- TPA Liasioning and empanelment
- Insurance related patient grievances
- Sending cashless request form to concern TPA and follow up
- Other Health Insurance Liasioning
- CGHS, ECHS, Work, CM Fund & Ayushman Mitra.
ASST. MANAGER
LN Medical College & JK Hospital
Bhopal
05.2020 - 10.2021
- Company tie-up
- TPA Empanelment
- Govt. Tie Up for the policy like CGHS, ECHS, CM relief funds.
- Corporate Billing.
- Corporate Relations for hospital tie up
CLAIMS & TPA EXECUTIVE
Narmada Trauma Center Pvt. Ltd.
Bhopal
05.2013 - 04.2020
- Collects and verifies TPA card, Photo ID card or insurance policy at the admission desk while the patient starts receiving necessary medical treatment.
- Assists the patients/family members to fill the pre-authorization form and necessary consent forms.
- Forwards the completed forms to the concerned TPA by fax/mail within 24 hours of hospitalization of the patient.
- Actively responds to any query/additional information asked by the concerned TPA regarding the treatment of the patient.
- Follows up with the concerned TPA for the authorization letter and duly informs the patient/ family members.
- In case of issuance of a denial letter, ensures that the patient/family members settle the entire bill amount by cash payment.
- Ad hoc duties, as assigned.
- MS Word, Excel, Power Point, Software.
Education
BA -
Barkatullah University
Bhopal, M.PPGDCA -
Makhan Lal Chaturvedi University
BhopalSkills
- Corporate billing and claims administration
- Insurance verification and processing
- Policy implementation
- TPA liaison
- Team collaboration
Languages
English: Hindi
Hobbies and Interests
Traveling, Listening Music
Disclaimer
I hereby declare that all the information given above is true and best of my knowledge.
CUSTOM
Bhopal, Madhya Pradesh
Timeline
CLAIMS AND TPA MANAGER
The County hospital and Research centre
06.2024 - Current
ASST. MANAGER
Lalit Geetanjali Makan Hospital
11.2021 - 05.2024
ASST. MANAGER
LN Medical College & JK Hospital
05.2020 - 10.2021
CLAIMS & TPA EXECUTIVE
Narmada Trauma Center Pvt. Ltd.
05.2013 - 04.2020
BA -
Barkatullah University
PGDCA -
Makhan Lal Chaturvedi University
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