Tpa Executive

Ø Deal with ESIC LDH,ESIC CHD,NRHM, all TPA/Panel patients Ø Dealing with PGEPHIS and send cashless request of the patients (including query replies, as relevant) Ø Admission of MMPCRKS ( CMS) patients Ø Preparing approval documents. Ø Follow up of all admit patients and preparing approvals as required. Discharge bill signed after verification off...

**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...

Any other work assigned by Corporate Finance Team / Unit Head, from time to time.Claims Processing:Oversee the end-to-end process of insurance claims submission and follow-up. Ensure accuracy and completeness of claim documentation before submission.Coordinate with medical billing and coding teams to resolve claim discrepancies.Third-Party Administrator...

HANDLING ALL CASHLESS BILLING CO ORDINATION WITH TPA COMPANIES REGARDING CLAIMS SETTLEMENT OF CLAIMS COMMUNICATION SKILLS **Salary**: From ₹25,000.00 per month **Benefits**: - Food provided - Health insurance - Provident Fund Schedule: - Day shift **Experience**: - total work: 1 year (preferred) Work Location: In person

1.Addressing mails of every insured in stipulated time period. 2.Receive calls of Insureds irrespective of timings. 3.Uploading of Documents. (If required ) 4.Coordination with internal team branches for smooth processing. 6.Regular Pendency Check. 7.Any other work which senior will assign 8.Sending Weekly reports/Delay condone's etc to HR. 9.Timely...

a) To check the sources of referral i.e. refer for any doctors, ECHS/TPA, Corporate etc. b) To check the Doctors admission request form Responsible for Discharge process: c) To check the Doctors visits d) To check the Doctor’s admission request form e) To identify the cases i.e. Surgical/non surgical f) To check out the patient’s category i.e....

**JOB DESCRIPTIONS**: 1. To handling queries of corporate clients 2. Handling in house queries of cash less patients. 3. Handling daily office jobs related to corporate (cash Less). 4. To cross check all the documentations. 5. Arrange interactions of referral doctors with our doctors for updation ad queries. 6. Preparing MIS, generating reports related...