Hi,
Being a existing Hospital I hope TPA Manager position is not newly created one and some one should be already performing the role of TPA Manager. If so you can collect the roles and responsibilities and compile it as JD for said position.
The general responsibilities for said position will be :
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.
Work as a TPA/Insureance Cashless Coordinator.
Responsible for resolving billing issues by discussing Discount with third-party payer; and settlements.
Fully responsible or Cashless Billing.