MANISH KUMAR

Manishthakur1979@gmail.com
8750812345

Over 15+ years of professional experience in Hospital Billing, Corporate Business/Health Insurance/TPA
Management while working with Hospitals.

ACADEMIC QUALIFICATION

M.B.A IN FINANCE VINAYAK MISSION UNIVERISTY

PROFESSIONAL QUALIFICATION

Well Versed in M.S Office, MS Windows 95 , 2000, Tally 4.5 , 5.4 & Tally 7.2 ,9.2 Tally, Busy -B
accounting Software . HMS system.

Jobs experience: 15 years

Worked with Asia medicl assistant ltd since march-2002 to june 2004
Worked with Privat hospital since July -2004 to sept -2010
Worked with Tulip hospital since oct-2010 to Nov-2012
Worked with Privat hospital Since Dec-2012 to jan-2017
Worked with Vipul TPA Pvt ltd since jan-2017 to feb -2018
Currently working with Manav Hospital feb -2018 and Till date

Job profile includes:

Organization Profile Multi-Specialty Manav Hospital

Job Profile - "TPAand Markiting Manager

1. TPA Relation and Collection Recovery

2. TPA Empanelment & Government Tie-ups
3. TPA or Cashless Recoveries
4. Corporate Company and Government Company cashless Recoveries’
5. ECHS,CGHS,ESI, cashless Recoveries
6. Handle the team of Billing /cashless TPA Executives/Marketing Executives
7. Develop corporate tie-ups, company empanelment
8. Liaison with Insurance Companies
9. Liaison with Govt. Health Departments
10. Marketing Offline and Online
11. Referrer Marketing
12. Initiate the recovery of overpaid IPD patient bill a bill and to monitor progress of recovery
and payment options.

Organization Profile :Vipul MedCop Insurance TPA Private Limited

Job Profile-Manager-Networkingsince year 07 jan 2017
1. Hospital empanelment, check empanelment document
2. Rate issue to hospital
3. Visit to hospital audit check all hospital documents

Organization Profile :Privat Hospital, a part of Privat Health Care Group, consist of
Privat Hospital, and Privat Travel Clinics.
Privat Hospital, a 100 bedded multi specialty hospital, is on panel of diplomatic missions
in India, foreign insurance / assistance company, Multinational and National Corporate.
JOB PROFILE- BILLING&TPAManager

 IPD Billing Supervision national & International billing

 Responsible for handling the billing claims and Resolves the denied claims
 Prepare and distributed the customer invoice and bill
 Coordinate with various consultants for all inpatients billing related services and be one point of
contact for them for their queries related the patients bills and their shares.
 Responsible for Day to day IP Billing activities/process and answering to patient queries and
grievances.
 Heading departments of IPD Billing, Credit Patient Dept (TPA & corporate), Health Check Ups,
Customer Care Services & Diagnostics Services (Pathology & Radiology)
 Cashless claim and maintain hospital in proper manner. I was maintain monthly data and to send to
Director.
 Responsible for the analyzing researching and resolving customer issue
 Manages the Reconciliation of accounts receivable on daily basis
 Keeping Control of the Medical Cases as well as outstanding payment Control
 Audit claim files, check claim papers according to disease, examine medical reports, match
prescriptions and in case of deficiencies of documents, put queries and to make correspondence
with clients
 Review and process claims according to medical terminology, diagnostic procedures and of
equipments
 Passing insurance claim according to health insurance policies for individual and corporate clients
and prepare reports
 Keep the staff well motivated and positive
 Coordinate with various departments to correct the processes leading to delays

Organization Profile: Tulip Hospital, a 100 bedded multi specialty hospital, is on panel of diplomatic missions
 in India / assistance company, Multinational and National Corporate.

JOB PROFILE- Collection Recovery& Business devilment Assistant Manager

 Collection to all TPA and All insurance company &all corporate credit collection and
ECHS and ESI collection also
 Responsible for handling the billing claims and Resolves the denied claims
 Prepare and distributed the customer invoice and bill

 Coordinate with various consultants for all inpatients billing related services and be one point of
contact for them for their queries related the patient’s bills and their shares.
 care management and insurance / T.P.A. Management. I was handling cashless department
correspondence with TPA and Insurance Company, follow-up with Branch Manager and make a
rapid
 process of urgent cashless payment. To do correspondence with patient and corporate client for
processing
 Cashless claim and maintain hospital in proper manner. I was maintain monthly data and to send
toDirector.
 Maintaining relations with Insurance Companies and Corporate
 Reconciliation with TPA and Corporate for Outstanding amount.

Organization Profile:Privat Hospital, a part of Privat Health Care Group, consist of

Privat Hospital, and Privat Travel Clinics.
JOB PROFILE : TPA/ Billing Sr.Executive at Privat Hospital, Gurgaon
 IPD Billing Supervision national & International billing
 Responsible for handling the billing claims and Resolves the denied claim
 Supervision of all TPA Insurance cases
 Supervision of Credit Bills realization
 Controlling various activities in IPD – Advance, Daily Billings
 Dispatch of credit bills and maintain data for dispatch of credit bills.
 Collection of credit amount from Debtors.
 Review of outstanding and reconciliation with debtors.
 Taking care for deduction claims and recovery of deduction amount.
 Analyzing of discount report
  To submit the monthly MIS and Statistics reports.
 Submission of MIS, Statistic Reports
 Handling Independent Correspondence with the Companies & Customers
 Coordinate with the Team to identify process improvement opportunities
 Supervision of all TPA Insurance cases
 Implementation of Billings Process & systems
 Control Cash and Credit Billings
 Regular client visits and follow ups
Organization Profile:ASIA MEDICAL ASSISTANCE PVT.LTD
JOB PROFILE:Accounts Executive
 Maintaining books of accounts on a day-to-day basis
 Updating all kinds of payments &receipts in the accounting soft ware
 Handling of petty cash
 Vendor reconciliation and collection controller
 Preparation of bank reconciliation statement
 Purchase Entry , Sales Entry, Journal Entry, Payment Entry, Receipts Entry, daily updated in the system
 Cheque preparation of supplier and Expenses
 Supplier and Expenses bill checking
 Cash book updating in the system,

 PERSONAL PROFILE

Present Address : Manav Hospital Kavi Nagar Ghaziabad B-Block 201002

Permanent Address : V.P.O Bari The & Distt hamirpur pin 177001( Himachal Pradesh)
Telephone : 8750812345
E-mail : manishthakur1979@gmail.com

(MANISH KUMAR)