Tpa & Mrd Executive

1 week ago


Gurugram Haryana, India Lal Superspeciality Hospital 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 discharge.
- Handling billing Department, Implants bill updating & reconciliation.
- Daily co-ordination with the patient and Hospital staff.
- Preparing split bills/ Doctor charges etc.
- Handling all TPA Portals.
- Outstanding follow-up with TPA.
- Monthly Review report.
- To obtain and review referrals and authorizations for treatments.
- To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
- Must be aware of norms of the insurance sector.
- Daily follow up with Insurance companies to pass or clear the Health Insurance claims.
- Maintains and contributes to patient care by organizing and maintaining patients’ medical records and health information.
- Communicates with patients, medical professionals, and insurance companies.
- Answers requests for information and documents.

**Salary**: ₹12,000.00 - ₹15,000.00 per month

Schedule:

- Day shift

**Education**:

- Higher Secondary(12th Pass) (preferred)

**Experience**:

- TPA: 1 year (required)
- Billing: 2 years (required)

License/Certification:

- Management (preferred)

Work Location: In person


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