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Tpa Coordinator

2 months ago

Navi Mumbai, India Matrix Super Speciality Hospital Full time

**TPA Coordinator (Male) 01** (Salary = RS. 10,000 - RS. 15,000 per month) salary as per experience and skills. **(Experience in Billing/ TPA Background of a** **minimum of** **2 years will be preferred)**

**Qualification**: 12th Pass or Graduation

**you can connect us by walk-in also**

**Monday to Saturday between 11:00 AM to 02:00 PM**

**Address: Matrix Super Speciality Hospital, Plot No. 21, behind ITM Hostel, Sector-5, Kharghar, Navi Mumbai, Maharashtra 410210.**

**Call on 022-62535777**

**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. Maintaining of patients data in excel sheet with all required details.

Empanelment process of new company to be done. Reimbursement files to be prepared and couriered. Counselling patients on their health insurance/claims. Help patients with pre-authorizations.

Supporting with uploading documents on the platform. Billing executives works under supervision of your reporting manager. Update patients file for the services render.

Ensure correct computation of opd & ipd billing as per respective guidelines, to issue billing adjustments, track, process and complete third-party invoices.

Validate refund cheques for patients, follow up on any declined credit card, - to contact patient’s relation to their payment inquiries.

Revert on patients’ billing & insurance questions. Handle estimate of patient. Re-solving the query related to hospital & customers.

**Job Types**: Full-time, Regular / Permanent

**Salary**: ₹10,000.00 - ₹15,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Day shift
- Fixed shift
- Rotational shift

Supplemental pay types:

- Overtime pay

**Education**:

- Bachelor's (required)

**Experience**:

- Billing/ TPA: 2 years (required)
- Microsoft Office: 2 years (required)

**Speak with the employer**
+91 8879717171

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