Tpa Coordinator
1 month ago
**Insurance Verification**: They verify patients' insurance coverage details, including policy numbers, coverage limits, and any pre-authorization requirements.
- **Pre-Authorization Process**: They initiate and manage the pre-authorization process for medical procedures and treatments that require approval from the insurance company.
- **Claim Processing**: TPA Coordinators assist patients in filing insurance claims for medical services provided by the hospital. They ensure that all necessary documentation is completed accurately and submitted on time.
- **Communication with Insurance Companies**: They serve as the primary point of contact between the hospital and insurance companies. This involves communicating with insurance representatives to resolve any issues related to coverage, claims, or pre-authorizations.
- **Billing and Reimbursement**: TPA Coordinators may be responsible for reconciling hospital bills with insurance payments, ensuring that the hospital receives proper reimbursement for services rendered.
- **Patient Education**: They educate patients about their insurance coverage, including any co-pays, deductibles, or out-of-pocket expenses they may be responsible for.
- **Record Keeping**: Maintaining accurate records of insurance-related correspondence, claims, and payments is also a crucial part of the job.
O
Pay: ₹20,000.00 - ₹25,000.00 per month
**Experience**:
- total work: 2 years (preferred)
Work Location: In person
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