Tpa/claim Executive
1 week ago
**TPA/Claim Executive at Medicon Group**
**For 300 Bedded Multispecialty Hospital in Jalandhar Punjab**
**TPA/Billing Executive -3 (Experience 2 - 4 Years)**
- Graduate/ BHM / MHA / Post Graduate Diploma in hospital administration / hospital management.
- Claims Processing, Documentation and claims filing
- Good experience in Hospital Billing & claim Processing
- Credit recovery departments
**Responsibilities**:
- Handling TPA and government empanelment (CGHS, ECHS, Ayushman Bharat etc) Portals related processes.
- Maintaining & uploading patient files on the portal
- Couriering the hard copy of the patient's medical file to the Insurance companies.
- Mailing the soft/scanned copies of the patient’s medical files to the insurance companies.
- Responsible for all data management.
- Handling billing Department, Implant bill updating & reconciliation.
- Daily co-ordination with the TPA department Hospital staff.
- Handling all TPA and government empanelment Portals.
- Outstanding follow-up with TPA.
- Monthly Review & recovery report.
- Daily follow-up with Insurance companies to pass or clear the Health Insurance claims.
- Any additional responsibilities given by the management.
**Salary: 17,000 - 25,000 Per Month**
**Notice Period: 15 Days Maximum**
Pay: ₹17,000.00 - ₹25,000.00 per month
Schedule:
- Day shift
**Experience**:
- TPA: 2 years (preferred)
- CGHS, ECHS, ESI, Ayushman Baharat Claims Processing: 2 years (preferred)
- CGHS, ECHS, Railways, Ayusman: 2 years (preferred)
Work Location: In person
Expected Start Date: 30/05/2024
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