Insurance Claims- Tpa

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

**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...

**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 &...

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...

Health Claims ManagementHandling Health claims team & TPA coordination for daily claims activities for Reimbursement, Cashless and International Travel claims.Responsible for achievement of KPIs by Managing team to perform & achieve TAT of claims settlement, adhering claim settlement ratio.Coordinating and monitoring through team discussion, keeping check on...

Health Claims ManagementHandling Health claims team & TPA coordination for daily claims activities for Reimbursement, Cashless and International Travel claims.Responsible for achievement of KPIs by Managing team to perform & achieve TAT of claims settlement, adhering claim settlement ratio. Coordinating and monitoring through team discussion, keeping check...

Health Claims Management Handling Health claims team & TPA coordination for daily claims activities for Reimbursement, Cashless and International Travel claims. Responsible for achievement of KPIs by Managing team to perform & achieve TAT of claims settlement, adhering claim settlement ratio. Coordinating and monitoring through team discussion, keeping...

**Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the organization while settlement...

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...

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...

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...

**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...

**Position Overview**: A **TPA Executive** manages the relationship between the insurance company, healthcare providers, and customers, ensuring smooth processing of health insurance claims and customer support. This role involves overseeing claims processing, verifying policy coverage, coordinating with hospitals, and resolving queries related to insurance...

**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...

Health Claims ManagementHandling Health claims team & TPA coordination for daily claims activities for Reimbursement, Cashless and International Travel claims.Responsible for achievement of KPIs by Managing team to perform & achieve TAT of claims settlement, adhering claim settlement ratio.Coordinating and monitoring through team discussion, keeping check on...

Health Claims ManagementHandling Health claims team & TPA coordination for daily claims activities for Reimbursement, Cashless and International Travel claims.Responsible for achievement of KPIs by Managing team to perform & achieve TAT of claims settlement, adhering claim settlement ratio. Coordinating and monitoring through team discussion, keeping check...

Health Claims ManagementHandling Health claims team & TPA coordination for daily claims activities for Reimbursement, Cashless and International Travel claims.Responsible for achievement of KPIs by Managing team to perform & achieve TAT of claims settlement, adhering claim settlement ratio. Coordinating and monitoring through team discussion, keeping check...

At Insurance, we're committed to delivering exceptional service in Health Claims Management.We're seeking a skilled Claims Manager to lead our Health Claims team and coordinate with TPA for daily claims activities. This includes Reimbursement, Cashless, and International Travel claims.Your primary responsibility will be to manage the team to achieve KPIs by...

Hiring Claims Executives for Chembur Location. Should have previous TPA experience. Graduation compulsary Salary - 15000 to 18000 per month **Salary**: ₹15,000.00 - ₹18,000.00 per month Schedule: - Day shift **Experience**: - total work: 1 year (preferred) Ability to Commute: - Mumbai Suburban, Maharashtra (required) Ability to Relocate: -...