3 Days Left: Tpa Manager

1 day ago

Darbhanga BR IN Swami vivekananda cancer hospital, darbhanga Full time

1 Educational Qualifications Bachelor s degree in business administration Healthcare Management Insurance Finance or related field MBA or postgraduate diploma in Healthcare Management Insurance preferred 2 Work Experience Minimum 3-6 years experience in hospital TPA management health insurance or claims processing Experience handling TPA coordination claim settlements and insurance approvals in a hospital environment Knowledge of insurance policies claim procedures and regulatory guidelines 3 Core Skills Knowledge Managing and coordinating with TPAs for smooth claims processing Understanding of insurance policy terms claim documentation pre-authorization and discharge approvals Monitoring and follow-up of claim rejections disputes and escalations Preparing reports on claim status approvals denials and financial reconciliation 4 Technical Skills Familiarity with Hospital Information Systems HIS and TPA portals Proficiency in MS Excel for data analysis and reporting Use of email and communication tools for vendor coordination 5 Communication Negotiation Skills Strong verbal and written communication skills for interaction with insurance companies hospital departments and patients Negotiation skills to resolve claim disputes and expedite approvals 6 Compliance Documentation Ensuring timely and accurate submission of documents as per insurance and hospital policies Maintaining audit-ready claim files and records Knowledge of healthcare regulations and insurance compliance requirements 7 Performance Indicators Claim settlement turnaround time Reduction in claim rejection rates Accuracy and completeness of claim documentation Effective dispute resolution rate TPA vendor satisfaction and relationship management Job Types Full-time Permanent Pay 25 000 00 - 50 000 00 per month Benefits Leave encashment Paid sick time Paid time off Education Master s Preferred Experience TPA 1 year Preferred Work Location In person

  • Tpa Executive

    6 days ago

    Darbhanga, India Swami vivekananda cancer hospital, darbhanga Full time

    **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 -...

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    1 day ago

    Darbhanga, BR, IN Swarama Power Private Limited Full time

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    3 days ago

    Kalyani, WB, IN Rainbow Specialty Hospital Full time

    TPA Coordinator Position TPA Coordinator Job Overview The TPA Third-Party Administrator Coordinator plays a critical role in managing and coordinating insurance-related processes between patients hospitals and TPAs They ensure timely approvals documentation and settlements to enhance patient satisfaction and streamline operations Key...

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    3 days ago

    Darbhanga, BR, IN Holy Mary International School Full time

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    4 days ago

    Kalyan, MH, IN Efficient Insurance Brokers Pvt Ltd Full time

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    1 week ago

    Nagda, MP, IN IPM Hospital Full time

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    1 week ago

    Sitamarhi, BR, IN Brands Mantra Full time

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    3 weeks ago

    Haldwani, UL, IN Inventia Technology Conultants Pvt. Ltd. Full time

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    6 days ago

    Siwan, BR, IN Whitefield careers Full time

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  • 3 Days Left! Center Head

    3 days ago

    Chapra, BR, IN Unstoppable Welfare Society Full time

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