The invention discloses a manufacturing method of a high-precision and high-reliability NTC thermistor chip, which comprises the following steps of: 1) weighing corresponding metal oxides according to a chemical formula Mn3-x-y-zNixFeyCozQtO4, mixing, ballmilling, and roasting into thermal sensitive ceramic pre-powder A, 2) uniformly mixing the thermal sensitive ceramic pre-powder A and nano thermal sensitive ceramic pre-powder B into a mixture, preparing the mixture into slurry, 3) filter-pressing and forming the slurry to a green body, drying and isopressing the green body, 4) conducting microwave sintering on the body obtained in Step 3), and 5) slicing an obtained sinter cake, placing an electrode and conducting heat treatment in a shielding gas atmosphere, wherein the mass percent of the B in the mixture is 5-75wt%, and the solid content of the slurry is 70-80wt%. The 1% yield of the prepared chip is improved greatly, and the reliability is also improved obviously.