Tushal Chinchmalkar

(A unit of SPANV Medisearch Life Sciences Pvt.)

• Managing team and process of Admission & Billing Department), Staff Management.
• Tariff Comparison.
• Packages Comparison.
• Auditing/Cross checking of bills.
• Services and Packages creation in HMIS.
• HMIS Implementation.
• VC Referral and doctor’s payout.
• Taking follow up on Feedback of IP patient related billing department.
• Reporting to AGM on daily basis.
• Responsible for smooth transaction with Insurance, TPA & Corporate by providing set of bills.
• Compliance of Insurance/TPA/Corporate Bills.
• Bed Management.
• Maintained admission and bed status report.
• Conducted weekly staff meetings to motivate staff members, address concerns and questions, plan improvements, and evaluate progress toward goals.

( Unit of Cancer Treatment Services Hyderabad Pvt. Ltd.

(American Oncology Institute is leading cancer care provider that operates chain of cancer hospitals across South Asia.)

• Looking Insurance & TPA, Corporate empanelments/Tie up.
• Organize and manage Health Talk & Camps at Corporate & PSU’s.
• Visiting corporate offices, health care center, Insurance & TPA.
• Reporting to GM on daily basis.
• Responsible for achieving given target on monthly basis.
• Meeting doctors on day to day basis to ensure patient engagement.
• Implementing strategy in a given time.
• Making AD & RD report on monthly basis.
• Arranging CME & OPD camps for targeted corporate & health care centers.
• Coordinating consultant talk programs on AIR (All India Radio).
• Arranging health talk for public in coordination with foundations & samajes.
• Responsible for smooth transaction with Insurance, TPA & Corporate by providing set of bills.
• Compliance of Insurance/TPA/Corporate Bills.

• Resolve incoming queries on billing from patients, insurance companies, consultant, or colleagues in a professional and efficient manner.
• Provide billing queries by collecting, analyzing, and summarizing third party billings, accounts pending, and late charges data and trends.
• Works with other departments to facilitate problem solving and data collection of patient insurance billing.
• Collaborate with team members to facilitate the delivery of efficient and effective billing services to all patients.
• Co-ordinate accounts department to make sure that everything is in order and there is no mistake in figures.
• To take daily rounds of Indoor patients.
• To take daily short meetings, if required with concerned departments for help.
• To check all files for entry after executive round.
• To track the daily expenses of patients, medicines used (Co-ordinate with pharmacy).
• To check all consents, required documents of patients during admission and thereafter (Adhar Card, Policy Paper, Special Billing Consent etc).
• To take daily meeting with Corporate Recovery Officer for any suggestion/correction/follow-up of bills etc.
• To manage the work done and performance / disciplines by the staff in Billing Department (Billing Executive, office boys assigned to Billing Department, Billing Assistants, etc.).
• To check daily statement of estimated bill before leaving for the day.
• To check and sign all submitted credit bills before dispatch.
• To get daily account statement from finance department for corporate and credit patients.
• To ensure that all phone calls coming to billing department are answered in a prompt & professional way satisfying the caller (Patient, Patients Relative, Doctors etc.).
• Maintain a steady environment in the office and in case of dispute, taking care of the problem and making sure everyone is satisfied with the decision.

(a Part Group of Zulekha Healthcare Group, UAE)

• Looking billing process of TPA/Insurance/Corporate.
• Looking all account procedures (i.e. Verification of bills, Claim Generations & proper filling of related documents etc.), Taking Pre & Final approvals for admissions of TPA/Insurance patients.)
• Creating entitlement for TPA/Insurance companies.
• Generation of claim and final bill settlements.
• Preparing credit patients health packages, IPD & OPD bills and claim to related companies.
• Taking follow-up on outstanding payments.
• Compliance of Insurance/TPA/Corporate bills.
• Looking reimbursement process.

• Looking cashless process of corporate/PSU/TPA/Insurance.
• Looking and managing all account procedures (i.e. Verification of bills, generating & proper filling of related documents & online death & birth intimation to NMC etc.).

• Looking and managing process of Corporate & TPA/Insurance/Self billing.
• Looking all account procedures (i.e. preparing vouchers, cheques, verification of bills, generating & proper filling of bank statement etc.
• Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.