Tpa & Billing Executive

4 weeks ago


Gandhinagar, 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 pre-Auth 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 co-ordination activities from patient s admission to discharge.
- Handling billing Department, Implants bill updating reconciliation
- Daily co-ordination with the patient and Hospital staff.
- Preparing split bills/ Doctor charges etc. Handling all TPA Portals
- Outstanding follow-up 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.



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