Blondy J Sangma

TPA Responsibilities:

• Ensured accurate and timely submission of Pre-Authorization (Pre-Auth) forms for all TPA-admitted patients.
• Monitored inpatient expenses to maintain compliance with MOU and policy coverage limits.
• Provided financial counselling to patient attendants regarding non-covered or excess charges.
• Prepared and finalized discharge billing, coordinating approvals with insurance/TPA representatives.
• Managed post-discharge claim submissions, followed up with insurers, and verified documents to resolve discrepancies.

Manager on Duty (MOD):

• Oversaw hospital operations once a week, ensuring all departments functioned efficiently and met service standards.
• Addressed administrative concerns across departments and maintained real-time coordination.
• Submitted detailed reports directly to the Managing Director, highlighting operational performance and issues needing attention.

Front Office Executive
(May 2017 – Oct 2019)

Served as a core Front Office Department member, trusted to handle multiple operational areas based on need. Skilled in end-to-end OPD and IPD processes including:

• New and follow-up patient registration, guidance, and OPD billing for doctor-prescribed investigations.
• Pre- and post-investigation preparation and coordination.
• Corporate/credit billing for ECHS, ESIC, AGHS, CGHS, NF Railway and other tie-up schemes, including extensive documentation.
• Admission counter duties: inpatient admission procedures, emergency registrations, and pre-admission counseling.
• Managing the EPBX/24×7 helpline—handling patient queries, grievances, and new enquiries with accuracy and empathy

Recognized for versatility and reliability across all functional areas of the Front Office Department.

Joined the Radiology Department as a Receptionist and later entrusted with additional responsibilities in medical transcription.

• Coordinated MRI/CT appointments and supported patient pre-procedure preparation.
• Managed monthly MRI/CT statistics and handled report dispatching.
• Archived patient CDs and ensured proper record management.
• Later assigned to transcribing, formatting, and maintaining radiological reports (CT & MRI) with accuracy and confidentiality.

Customer Relationship Executive Billing Resolution & Sales Performance Executive