Tpa Manager

1 Educational Qualifications Bachelor s degree in business administration Healthcare Management Insurance Finance or related field BBA or postgraduate diploma in Healthcare Management Insurance preferred 2 Work Experience Minimum 2-3 years experience in hospital TPA management health insurance or claims processing Experience handling TPA coordination claim...

Key Responsibilities 1 Pre-authorization Claim Management Review and validate pre-authorization requests as per medical necessity and insurance policy guidelines Prepare and submit pre-authorization forms with accurate diagnosis procedure codes and estimated costs Monitor approval status and follow up with TPAs for timely authorization Scrutinize final bills...

A Third Party Administrator (TPA) is a company that provides services to insurance companies and policyholders. A TPA's job description can include: - **Claims processing**TPAs manage the claims process from start to finish, including receiving and reviewing documents, verifying eligibility, assessing the claim, and disbursing payment. - **Benefits...

1. Educational QualificationsBachelor's degree in business administration, Healthcare Management, Insurance, Finance, or related fieldBBA or postgraduate diploma in Healthcare Management / Insurance preferred2. Work ExperienceMinimum 2–3 years' experience in hospital TPA management, health insurance, or claims processingExperience handling TPA...

**Key Responsibilities**: **1. Pre-authorization & Claim Management**: - Review and validate pre-authorization requests as per medical necessity and insurance policy guidelines. - Prepare and submit pre-authorization forms with accurate diagnosis, procedure codes, and estimated costs. - Monitor approval status and follow up with TPAs for timely...

TPA Coordinator - Position Overview The TPA Third Party Administrator Coordinator is responsible for managing and facilitating communication documentation and workflow between the organization its clients and external TPA partners This role ensures that claims compliance requirements and administrative processes are handled efficiently accurately and within...

Job Title TPA Coordinator Department Claims Health Insurance HR Administration depending on the organization Reports To Manager - Claims Administration HR Location REWARI Job Type Full-Time Job Summary The TPA Coordinator is responsible for managing and coordinating all aspects of third-party administrator TPA interactions including health insurance claims...

TPA Officer Location Kalyan Department Billing Insurance TPA We are seeking a detail-oriented and organized TPA Executive to manage all third-party insurance processes within the hospital The role involves coordinating between patients insurance companies and internal departments to ensure timely and accurate processing of pre-authorizations approvals claims...

Job Title TPA Executive Location Cygnus Superspeciality Hospital Kurukshetra Job Type Full-time About Us Cygnus Superspeciality Hospital Kurukshetra is a leading healthcare provider committed to delivering quality patient care We are seeking a dedicated TPA Executive to manage insurance and TPA-related activities efficiently Key Responsibilities Coordinate...

Manage TPA operations including attending calls interacting with walk-in customers and resolving queries Perform Birth Death entries in the Nagar Nigam portal Coordinate between hospital and TPA companies for claim processing cashless benefits and statutory compliances Verify pre-authorization request forms prepare case summaries with treating doctors and...