Tpa Coordinator

2 weeks ago

Thāne, Maharashtra, India MIRA SUPER SPECIALTY HOSPITAL Full time



JOB PROFILE:
TPA

JOB DESCRIPTION:

  • Handling Of TPA /Corporate Patients For Cashless. Instruct And Get Undertaking /Consent Form Filled By Patient /Relative.
  • To Do A Cashless Formality Like Pre-cut Form /Query Reply /Discharge Process Etc.
Liase With Department Representative Involved Resolving Query And Issues Related With Cashless.

  • Track The TPA Patients Through HIS System And Maintain TPA Patient Tracker As Per Format.
  • Follow Up With TPAs For Approval And Inform The Status To Patients Relatives /Patients.
  • Prepare Claim Settlement Document Post Discharge Of The Patient And Maintain Record Of Total Business And File Dispatched, Also Update On Daily Basis And Share With TPA IN Charge.
  • Submission Of Total Business On Daily Basis Also Take Follow Up For Outstanding Payment With TPA And Send Mail Weekly.
  • To Do Financials Counselling Of Surgeries /Procedure Of Cash/Corporate/TPA Patient After Liaoning With Treating Consultants And Counselling IN Charge
    .
  • Coordination with Corporate, Brokers & Insurance Companies
  • Preparing file couriers and sending it to insurance companies
10. maintaining of patients data in excel sheet with all required details.

  • Empanelment process of new company to be done
12. reimbursement files to be prepared and couriered

Job Types:
Full-time, Regular / Permanent

Salary:
₹8, ₹25,000.00 per month

Schedule:

  • Day shift

Ability to commute/relocate:

  • Thane, Maharashtra: Reliably commute or planning to relocate before starting work (required)

Experience:

- total work: 3 years (preferred)

Speak with the employer

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