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Tpa & Billing Executive

3 months ago

Gandhinagar, Gujarat, India Talent Fanatics Consultancy Full time

We are hiring TPA & Billing Executive for Trust based reputed hospital in Gandhinager, Gujarat.

  • Responsible for counseling patient s family preAuth process.
  • Maintaining uploading patient s files on the portal.
  • Couriering the hard copy of the patients medical file to the Insurance companies.
  • Responsible for all coordination activities from patient s admission to discharge.
  • Handling billing Department, Implants bill updating reconciliation
  • Daily coordination with the patient and Hospital staff.
  • Preparing split bills/ Doctor charges etc. Handling all TPA Portals
  • Outstanding followup with TPA.
  • Monthly Review report.
  • To obtain and review referrals and authorizations for treatments.
  • To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
  • Must be aware of norms of the insurance sector.
  • Daily follow up with Insurance companies to pass or clear the Health Insurance claims

Requirements:

  • Bachelor s degree in any discipline or equivalent.
  • Must have min. 2 years of experience.
  • Experience in Health care is a must.
Bachelor s degree in any discipline or equivalent. Must have min. 2 years of experience. Experience in Health care is a must.