Medical Officer – TPA Claim Process

We are Hiring for experienced TPA Medical Officer/Managers/Asst manager/TL **i. Medical Officer Job Description and Job Role**: 1. Involved in Analyzing Reports in Process Medical claims 2. Final approvals for medical claims 3. Should have good medical knowledge 4. Eagerness to learn and implement new medical aspects/medical scenarios 5. Providing the...

Key Responsibilities as follows: **1*.**Patient Coordination.* **2. Claims Processing Oversight.** **3. Daily morning round to assess gaps and their resolution.** **4. Relationship Building.** **5. Data Analysis and Reporting.** **6. Compliance Management.** **7. File management.** **8. Continuous Training to RMO & Nursing Officer.** **9. Claim...

Key Responsibilities as follows: **1*.**Patient Coordination.* **2. Claims Processing Oversight.** **3. Daily morning round to assess gaps and their resolution.** **4. Relationship Building.** **5. Data Analysis and Reporting.** **6. Compliance Management.** **7. File management.** **8. Continuous Training to RMO & Nursing Officer.** **9. Claim...

Role OverviewThe TPA Manager will be responsible for overseeing all operations related to private insurance, TPAs, and government health schemes including Bhamashah Swasthya Bima Yojana (BSBY) and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY). The role ensures smooth cashless and reimbursement processes, timely approvals, and compliance with all...

Role Overview The TPA Manager will be responsible for overseeing all operations related to private insurance, TPAs, and government health schemes includingBhamashah Swasthya Bima Yojana (BSBY)andAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) . The role ensures smooth cashless and reimbursement processes, timely approvals, and compliance with all...

**Role Description** This is a full-time on-site role for a TPA Executive at East Delhi Medical Centre. The TPA Executive will be responsible for handling third party administration activities, coordinating with insurance companies, verifying patient insurance coverage, and ensuring timely reimbursements. **Qualifications** - Knowledge of Third Party...

Job profile: TPA CLAIM PROCESSING helpdesk.We need people only from TPA Insurance Companies who has worked as a CRM helpdesk.(compulsory)Job Description CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by...

Urgent Hiring for TPA Executive. Job Description is as follows: - Manage the entire operation of Front Office which includes Admission, help desk, Billing & TPA department. - Development and continuous process of revision of guidelines of Front Office, Registration, Billing, admissions, TPA and other activities. - Manage Insurance cashless pre-authorization...

Will be responsible for reviewing, analyzing, & processing medical claims in line with policy terms, medical guidelines & regulator. The role ensures claims accuracy, fairness, & timely settlement while upholding professional medical standards. Required Candidate profileMBBS degree (mandatory). 2 to 5 years of exp in healthcare, TPA claims processing, or...

Role Overview The TPA Manager will be responsible for overseeing all operations related to private insurance, TPAs, and government health schemes including Bhamashah Swasthya Bima Yojana (BSBY) and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) . The role ensures smooth cashless and reimbursement processes, timely approvals, and compliance with...