Insurance Auditor tpa

6 months ago


Mumbai Maharashtra, India Legpro consultants pvt ltd Full time

**HIRING FOR INSURANCE AUDITOR " TPA INDUSTRY "**

**Experience required**:
**Must have minimum 3 years of experience in insurance Auditing & Mediclaim reimbursement process.**
- Claims Management**

**Responsibilities**:

- Be involved in the claims management processes to identify any discrepancies in documentation submitted so as to verify the submitted claims are eligible for payment.
- Responsible to train claims processing teams to be aware of the possible abuse practiced in the healthcare industry.
- Conduct comprehensive audits of claims processing activities to ensure adherence to industry standards and internal policies.
- Claims Management**

**Responsibilities**:

- Be involved in the claims management processes to identify any discrepancies in documentation submitted so as to verify the submitted claims are eligible for payment.
- Responsible to train claims processing teams to be aware of the possible abuse practiced in the healthcare industry.
- Conduct comprehensive audits of claims processing activities to ensure adherence to industry standards and internal policies.

**Salary**: ₹300,000.00 - ₹500,000.00 per year

**Benefits**:

- Provident Fund

Schedule:

- Day shift

**Experience**:

- total work: 3 years (preferred)

Ability to Commute:

- Mumbai, Maharashtra (required)

Ability to Relocate:

- Mumbai, Maharashtra: Relocate before starting work (required)

Work Location: In person

**Speak with the employer**
+91 9205959866


  • Medical Officer

    3 months ago


    Vidyavihar, Mumbai, Maharashtra, India Healthindia Insurance TPA Services Pvt. Ltd. Full time

    **Company Name **:Healthindia Insurance TPA (Work form Office) **Job Location **:Mumbai, Vidyavihar - West **Job & Responsibilities**: - Medical Scrutiny. - Provide Medical opinion for Health Insurance Claims. - Processing of Cashless Requests & Health Insurance Claim Documents. - Proficient with medical terms & system. **Required Qualification **:BAMS &...

  • Medical Officer

    4 weeks ago


    Mumbai, Maharashtra, India Healthindia Insurance TPA Services Pvt. Ltd. Full time

    **Company Name **:Healthindia Insurance TPA (Work form Office) **Job Location **:Vidya Vihar, Mumbai (WFO) **Job & Responsibilities**: - Medical Scrutiny. - Provide Medical opinion for Health Insurance Claims. - Processing of Cashless Requests & Health Insurance Claim Documents. - Proficient with medical terms & system. **Required Qualification **:BAMS &...

  • Medical Officer

    4 weeks ago


    Pune, Maharashtra, India Healthindia Insurance TPA Services Pvt. Ltd. Full time

    **Company Name **:Healthindia Insurance TPA (Work form Office) **Job Location **:Shivaji Nagar, Pune **Job & Responsibilities**: - Medical Scrutiny. - Provide Medical opinion for Health Insurance Claims. - Processing of Cashless Requests & Health Insurance Claim Documents. - Proficient with medical terms & system. **Required Qualification **:BAMS & BHMS...

  • Tpa Health Care

    6 months ago


    Andheri, Mumbai, Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Medi Assist **Job Title **:TPA Manager Required **Role/Position**: Permanent **Education**: BAMS,BHMS, BDS, BPT & MPT **Shifts**: Rotational Shifts ( work from office) **Job role**: TPA/ Health Insurance ∙Focus on claims analysis, ensure quality of claims processed and prepare data analysis reports ∙ Prepare the standard operating...

  • Medical Officer Tpa

    3 months ago


    Vidyavihar, Mumbai, Maharashtra, India Healthindia Insurance TPA Services Pvt. Ltd. Full time

    we are hiring Qualificatio: - BAMS, BHMS, BDS Doctors some one Should have knowledge in TPA 0r interested in TPA shift timing is 11 am to 10 pm - anything between 9 hours shift according to roster location: - vidyavihar, mumbai salary upto 25k to 35 k Pay: ₹25,000.00 - ₹35,000.00 per month **Education**: - Bachelor's...

  • Tpa Executive

    6 months ago


    Mumbai, Maharashtra, India Tresbien HR Staffing Full time

    Greetings! Hiring Urgently required TPA Executive -Back Office for a TPA Insurance Co. Location - Vidyavihar, Mumbai Qualification - Any Graduate Job Profile - 1. Good communication skill 2. Good Typing Skill 3. Good in Microsoft Word, Excel, PPT 4. Experience of 3 years (Insurance / TPA background). Best Regards, Tresbien HR Mumbai **Salary**: Up...


  • Prabhadevi, Mumbai, Maharashtra, India Fast Track Jobs Full time

    We Requires **TPA Insurance Operation Executive** for a **Helthcare Company** at **Prabhadevi**. Job Title**:TPA Insurance Operation Executive** Experience **:Min 1- 5 years** Location**:Surgycare Insurance - Prabhadevi Mumbai** **Job Description**: Handling of reimbursement claims and check eligibilities of policy holders Handling of queries related to...

  • Tpa Coordinator

    2 weeks ago


    Mumbai, Maharashtra, India Nakshatra Skill Development Campus PVT.LTD Full time

    **Profile**: - TPA **Location**: - Koparkhairne **Qualification**: - HSC/ GRADUATE **Experience**: - 1-2 year **Salary**: - 12000-18000 **Shift**: - Day shift (10 AM TO 6 PM ) **IMMIDIATE JOINER** TPA DESK HANDLING/ MEDICLAIM INSURANCE PROCESS/CORDINATION BETWEEN INSURANCE COMPANY AND PATIENTS **SKILLS** TPA EXPERIENCE IN HOSPITAL OR ANY...

  • Tpa Coordinator

    3 months ago


    Mumbai, Maharashtra, India Surana Hospital & Research Centre Full time

    Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Couriering the hard copy of patient's medical file to the Insurance companies. - Responsible for all co-ordination activities from patient's admission to...

  • Tpa Executive

    3 months ago


    Mumbai, Maharashtra, India Holy Family Hospital, Bandra Full time

    **Job description** **Responsibilities**: - Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Couriering the hard copy of patient's medical file to the Insurance companies. - Responsible for all...

  • Tpa Coordinator

    4 months ago


    Ghansoli, Navi Mumbai, Maharashtra, India Stemrx Hospital and Research centre Full time

    **Job Description: TPA and Billing Executive** **Location**: StemRx Hospital and Research Centre, Rabale **Salary**: ₹25,000 per month **Position Overview**: The TPA and Billing Executive will be responsible for managing the empanelment of insurance and TPA (Third Party Administrator) processes, as well as handling IPD (In-Patient Department) patient...


  • Nagpur, Maharashtra, India Healspan Full time

    JD: TPA/Health Insurance Executive **Skills**: - Excellent people management skills - Ability to use technology to improve outcomes - 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...

  • Tpa

    3 months ago


    Borivali, Mumbai, Maharashtra, India Nakshatra Skill Development Campus PVT.LTD Full time

    **Greetings from Hospital Staff** **HOSPITAL STAFF PROVIDES 100% FREE JOBS** **Post**: TPA Co-Ordinator **Location**: Borivali **Experience**: 1-2 Year in TPA (Cashless / Mediclaim / Insurance) **Salary**: 12000-18000 **Shift**: Day Shift **Experience**: - total work: 1 year (preferred) Work Location: In person

  • Tpa Coordinator

    3 weeks ago


    Mumbai, Maharashtra, India Nakshatra Skill Development Campus PVT.LTD Full time

    **Post**: TPA Coordinator **Location**: Chembur **Salary**: 15000-20000 **Experience**: 1-2 year **Location**: - Vasai TPA DESK HANDLING/ MEDICLAIM INSURANCE PROCESS/CORDINATION BETWEEN INSURANCE COMPANY AND PATIENTS **Immediate joiner** Pay: ₹15,000.00 - ₹20,000.00 per month Schedule: - Morning shift **Experience**: - total work: 1 year...

  • Tpa Cordinator

    1 week ago


    Navi Mumbai, Maharashtra, India SHAMAL HOSPITAL & ICU CARE Full time

    Shamal hospital and ICU CARE Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Handling billing Department, Implants bill updating & reconciliation. - Daily co-ordination with the patient and Hospital...

  • Executive - Tpa

    1 month ago


    Vikhroli, Mumbai, Maharashtra, India Adi Arogyam Super Speciality Hospital Full time

    Manage and coordinate activities related to third-party administrators (TPAs) and other insurance companies. - Ensure that all claims are processed in a timely and accurate manner. - Monitor and review claims to ensure accuracy and compliance with insurance regulations. - Maintain accurate records of all claims and payments. - Negotiate with TPAs and other...

  • Tpa Coordinator

    1 month ago


    Chembur, Mumbai, Maharashtra, India Nakshatra Skill Development Campus PVT.LTD Full time

    **Post**: TPA Coordinator **Location**: Chembur **Salary**: 15000-25000 **Experience**: 2- 3 years **Shift**: Rotational ( Morning / General / Evening) TPA DESK HANDLING/ MEDICLAIM INSURANCE PROCESS/CORDINATION BETWEEN INSURANCE COMPANY AND PATIENTS **SKILLS** TPA EXPERIENCE IN HOSPITAL Pay: ₹15,000.00 - ₹25,000.00 per month Schedule: - Day...

  • Tpa Coordinator

    1 month ago


    Chembur, Mumbai, Maharashtra, India Hospital Staff Full time

    **HOSPITAL STAFF PROVIDES 100% FREE JOBS** Post: TPA Coordinator Location: Chembur **Salary**: 25K Experience: 2- 3 years Shift: Rotational ( Morning / General / Evening) **Job Description**: TPA DESK HANDLING/ MEDICLAIM INSURANCE PROCESS/CORDINATION BETWEEN INSURANCE COMPANY AND PATIENTS SKILLS TPA EXPERIENCE IN HOSPITAL Pay: ₹12,000.00 -...

  • Tpa Executive

    6 months ago


    Pune, Maharashtra, India Docthub Health Tech Private Limited Full time

    Description - TPAs take care of policy administration tasks and health card issuance. - They also ensure that policyholders have all the required papers and information about their health insurance coverage. - They are also in charge of conducting medical exams before the purchase of an insurance policy to underwrite the health insurance policy. - TPAs...

  • Tpa Executive

    6 months ago


    Ulwe, Navi Mumbai, Maharashtra, India millennium hospital ulwe Full time

    Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Handling billing Department, Implants bill updating & reconciliation. - Daily co-ordination with the patient and Hospital staff. - Preparing split bills/...