Tpa Coordinator

Make use of available and correct codes to interpret patient health claims and submit records to insurance companies as per requirement. - Ensure that patients claims are processed based on the services rendered at Hospital and submitted to the authorities in due time if any and keep the patient updated timely on the status of their cashless facility and...

**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**:...

**About the Role**: **Responsibilities**: - **Backend Operations Management**: Oversee and manage all aspects of backend operations, including process optimization, resource allocation, and performance monitoring. - **TPA Coordination**: Collaborate with Third Party Administrators to ensure seamless integration of services, timely resolution of issues, and...

**Job Title: TPA Executive** **Job Location**: Eye Mantra Hospital, Pachim VIhar, Delhi **Reports To**: TPA Manager / Billing and Insurance Manager **Key Responsibilities**: - **Insurance Verification and Authorization**: - Verify patient insurance details and eligibility at the time of admission or prior to medical procedures. - Liaise with the...

**Job title**: TPA Coordinator/ Claims Manager **Qualifications**: Bachelors Digree **Job description**: - **Claims Processing Oversight**: - Serve as a liaison between clients, adjusters, service providers, and other parties involved in claims or related incidents. - Delegate claims settlement authority to claims representatives. - Provide technical...

**Job Title**: TPA Executive/Empanelment Executive **Location**: Eye Mantra Hospital **Department**: Administration **Reports to**: Operations Manager/Head of Insurance Relations **Contact no. 9990906076** **Job Summary** The TPA (Third Party Administrator) Executive/Empanelment Executive is responsible for managing insurance-related processes,...

**Key Responsibilities**: - Coordinate with insurance companies and patients for cashless and reimbursement claims. - Maintain accurate records of claim submissions, approvals, and payments. - Assist patients in understanding their insurance policies and claim procedures. - Liaise with hospital departments for smooth claim processing. - Ensure compliance...

**Responsibilities**: - Handle cashless and reimbursement claims efficiently and accurately. - Perform quality checks on all reimbursement claims before submitting them to TPAs/Insurance Companies. - Coordinate with insurance companies and TPAs to address document deficiencies and arrange for required documents. - Maintain a comprehensive CD (Client Data)...

**Health Claim Executive** **Responsibilities**: - Handle cashless and reimbursement claims efficiently and accurately. - Perform quality checks on all reimbursement claims before submitting them to TPAs/Insurance Companies. - Coordinate with insurance companies and TPAs to address document deficiencies and arrange for required documents. - Maintain a...

1. Being the first contact point between the patients and hospital. 2. Reminding/ Informing patients a day before their schedule appointment. 3. Following up with the patients about their health after treatment. 4. Listening up to the patient problems after the treatment and communicating the same to the doctor in charge. 5. Connecting patients with...

Job profile: CRM helpdesk. 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 employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure...

**Role : Medical Officer - CLAIM PROCESSING** 1.Medical Scrutiny by thorough assessment of documents. 2.Provide Medical opinion on admissibility of Insurance Claims. 3.Proficient with medical terms & system. 4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines. 5.Understanding of Claims...

**CLAIM PROCESSING-** 1.Medical Scrutiny by thorough assessment of documents. 2.Provide Medical opinion on admissibility of Insurance Claims. 3.Proficient with medical terms & system. 4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines. 5.Understanding of Claims adjudication / Claims Processing...

**CLAIM PROCESSING-** 1.Medical Scrutiny by thorough assessment of documents. 2.Provide Medical opinion on admissibility of Insurance Claims. 3.Proficient with medical terms & system. 4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines. 5.Understanding of Claims adjudication / Claims Processing...

MHC/18493 - Administration - Blk-Max Super Speciality Hospital Posted On -01 Oct 2024 -Required Experience -2 - 8 Years -Basic Section No. Of Openings 1 Designation Executive - Level 2 Employee Category Support Closing Date 15 Oct 2024 Organisational Company MHC Entity Dr. B. L. Kapur Memorial Hospital, ( A Unit Of Lahore Hospital...

**COORDINATOR** 1. Being the first contact point between the patients and hospital. 2. Reminding/ Informing patients a day before their schedule appointment. 3. Following up with the patients about their health after treatment. 4. Listening up to the patient problems after the treatment and communicating the same to the doctor in charge. 5. Connecting...

**Key Responsibilities**: **Patient Care Coordination**: - Serve as the liaison between patients, medical staff, and hospital departments to facilitate coordinated care. - Educate patients and families about hospital services, and available resources. - Ensure smooth transitions for patients during hospital admission, discharge - Schedule patient...

Responsibilities - Handling Cashless and reimbursement claims. - Taking care of the endorsement of various corporate clients. - Help employees and HR by giving them knowledge about the claim process. - Coordinate with insurance and TPA for any deficiency in documents and arrange it. - Maintain CD statement of all corporate client assigned to you. - Ready to...

Responsibilities - Handling Cashless and reimbursement claims. - Taking care of the endorsement of various corporate clients. - Help employees and HR by giving them knowledge about the claim process. - Coordinate with insurance and TPA for any deficiency in documents and arrange it. - Maintain CD statement of all corporate client assigned to you. - Ready to...

Responsibilities - Handling Cashless and reimbursement claims. - Taking care of the endorsement of various corporate clients. - Help employees and HR by giving them knowledge about the claim process. - Coordinate with insurance and TPA for any deficiency in documents and arrange it. - Maintain CD statement of all corporate client assigned to you. - Ready to...