Tpa Executive

2 weeks ago

Lucknow, India Nova Hospital Ltd Full time

Medical Scrutiny

Provide Medical opinion for Health Insurance Claims
Processing of Cashless Requests & Health Insurance Claim Documents
Proficient with medical terms & system.
- Actively responds to any query/additional information asked by the concerned TPA regarding the treatment of the patient.

Understanding of Policy terms & conditions & Various Protocols / Guidelines
Understanding of Claims adjudication / Claims Processing
Maintaining & Ensuring Standard Operating Procedures & Protocols
Ailment Wise ICD & Procedure Coding
Manage volumes effectively & efficiently to maintain Turnaround time of processing cases
VIP Claims Processing and TAT Maintenance
Claim Case Management / Cost Management

**Essential**:

- At least 3 yrs experience in Medical Officer Claims Processing Cashless.
- Good Excellent oral and written communication, negotiation and decision-making skills.
- Good customer service/relationship skills and ability to work effectively in a fast paced environment with shifting priorities.

Schedule:

- Fixed shift

  • Hiring for Tpa Coordinator/tpa Executive for

    6 days ago

    Lucknow, India Om Healthcare Recruitment Consultancy Full time

    **Roles and Responsibilities** - Hiring for TPA Coordinator/TPA Executive for Hospital Lucknow- Location - lucknow- Salary 15k to 25k- Depend Upon Experience- Qualification -Minimum Graduation- if any one interested for this- plz share your CV whatsapp-8423159700- - Regards- Vaibhav Singh- 8423159700Role: Other - Salary: Not Disclosed by Recruiter -...

  • Tpa/claim Executive

    4 weeks ago

    Lucknow, India Medicon Group Full time

    **TPA/Claim Executive For 150 Bedded Multispecialty Hospital in Lucknow** **TPA/Billing Executive -3(Experience 2 - 3 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...

  • Hiring For TPA Coordinator/TPA Executive For Hospital Lucknow

    4 weeks ago

    lucknow, India Om Healthcare Recruitment Consultancy Full time

    Roles and ResponsibilitiesHiring for TPA Coordinator/TPA Executive for Hospital LucknowLocation- lucknowSalary 15k to 25kDepend Upon ExperienceQualification -Minimum Graduationif any one interested for thisRegardsVaibhav Singh

  • Tpa Executive

    6 days ago

    Lucknow, India Proveka Healthcare Pvt. Ltd. Full time

    1.Ayushman/ECHS/CGHS/CAPF etc. claim submission process 2.PSU Billing & TPA pre - authorization process 3.Medical billing, MIS and documentation 4.TPA reimbursement cases 5.Manage record of TPA cases & collection 6.Coordination with corporate, brokers & Insurance companies. 7.Track The TPA Patients Through HIS System And Maintain TPA Patient Tracker As Per...

  • Executive HR

    13 hours ago

    Lucknow, India Aditya Birla Group Full time

    Key Result Areas/Accountabilities Supporting Actions Talent Staffing Releasing Welcome Mail within 24 hours in case of transfer or new joining. Handing over welcome kit, Value booklet (soft copy), email generation, SIM Card issuance etc. Ensure proper documentation of formats and documents duly verified with originals in new joiner s personal file ...