Tpa Officer

8 hours ago


Kalyan MH IN G Plus Heart Hospital & Multi Super Speciality Center Full time

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 and reimbursements Key Responsibilities TPA Coordination Handle daily operations related to Third-Party Administrators insurance companies corporates and government schemes Ensure timely submission of pre-authorization requests and follow up on approvals Act as the liaison between hospital departments and TPA Documentation Records Verify and maintain accurate records of patient insurance documents Ensure completeness of documentation for claim submission Prepare and submit final bills to TPAs for reimbursement Claims Management Monitor claim statuses and follow up on pending or rejected claims Coordinate with finance accounts for reconciliations and payment updates Maintain a database of all claims submitted and their status Patient Interaction Guide insured patients regarding TPA formalities and requirements Provide assistance during admission and discharge regarding insurance processing Compliance Reporting Ensure compliance with all insurance policies and procedures Generate periodic MIS reports and submit to management Qualifications Graduate in any discipline 1-3 years of experience in hospital TPA operations or health insurance claims Knowledge of hospital billing software and TPA portals Why Join Us G Plus Heart Hospital Vascular Intervention Center located in Kalyan West is a multi-super specialty hospital offering a range of cardiac and other specialized services They focus on providing world-class cardiac care and have a dedicated cardiology department with experienced doctors The hospital also offers neurosurgery urological surgery nephrology oncological surgery orthopedic surgery and general and laparoscopic surgery 9076206000 hr gpluskalyan com Job Type Full-time Pay 25 000 00 - 40 000 00 per month Benefits Cell phone reimbursement Health insurance Paid sick time Paid time off Work Location In person


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