Tpa Manager
3 weeks ago
Key Responsibilities 1 TPA Insurance Coordination Liaise with various TPAs insurance companies and corporate clients for emplacement and claim processing Ensure timely submission and follow-up of all pre-authorization and final claim documents Maintain records of all cashless and reimbursement patients 2 Claims Management Verify patient documents before submission to TPAs Monitor claim status address rejections or short payments and ensure timely resolution Coordinate with the billing department for correct coding and documentation 3 Cashless Reimbursement Process Handle all cashless requests approvals and discharge intimations Educate patients and attendants about insurance procedures and entitlements Ensure smooth discharge process by coordinating with TPAs and consultants 4 Documentation Compliance Maintain updated files and agreements of all TPAs and insurance companies Ensure compliance with NABH and other statutory requirements Prepare daily weekly and monthly reports on TPA operations and pending claims 5 Team Management Supervise TPA executives and ensure their performance and training Conduct periodic audits of TPA processes and claim files 6 Financial Reconciliation Coordinate with the accounts department for reconciliation of payments received from TPAs Track outstanding dues and initiate recovery measures when required Qualifications Experience Graduate or Postgraduate in Hospital Administration Finance Commerce Minimum 5-7 years of experience in hospital TPA operations or insurance management Strong knowledge of insurance processes claim documentation and medical terminologies Key Skills Excellent communication and coordination skills Strong analytical and problem-solving ability Proficiency in MS Office and hospital billing software Ability to manage a team and handle pressure situations Job Types Full-time Permanent Pay 45 000 00 - 80 000 00 per month Work Location In person
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Tpa Executive
1 week ago
Patiala, India RAHAT MEDICARE Full time**Key Responsibilities**: - **Insurance Case Management**: Handle all aspects of insurance cases, including verification, authorization, and coordination of benefits, ensuring timely processing and accurate documentation. - **Client Interaction**: Serve as a primary point of contact for clients regarding insurance-related inquiries, providing clear and...
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[3 Days Left] Tpa Manager
2 weeks ago
Darbhanga, BR, IN Swami vivekananda cancer hospital, darbhanga Full time1 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...
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Insurance Executive
2 weeks ago
Vellore, TN, IN nexus consulting solutions Full timeJob Title Insurance Executive - Hospital Experience Required 2 to 3 Years Department Billing Insurance TPA Reporting To Insurance Billing Manager Key Responsibilities Coordinate with insurance companies TPAs and corporate clients for pre-authorization and claim approvals Review patient documents diagnosis codes and ensure accurate submission of insurance...
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▷ Apply in 3 Minutes: Medical Billing Executive
2 weeks ago
Nadiad, GJ, IN Wardwizard Medicare Private Limited Full time1 Patient Billing Invoicing Prepare and generate accurate inpatient outpatient and emergency bills Verify patient details treatment procedures and service charges before final billing Ensure inclusion of all medical services consumables and doctor fees in the bill Handle advance payments refunds and discharge clearances 2 Insurance TPA Coordination Verify...
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▷ (3 Days Left) Claims Supervisor
4 weeks ago
Raiganj, WB, IN Ohm Jobs Full timeJob Title Claims Officer Claims Supervisor Location Raiganj West Bengal Accommodation Provided by the hospital Qualification BHMS Registered with respective council Experience Minimum 2 years in hospital settings preferred Reporting To Hospital Administrator Medical Superintendent Job Summary We are seeking a dedicated and...
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Resident Medical Officer
3 weeks ago
Raiganj, WB, IN Ohm Jobs Full timeJob Title Resident Medical Officer RMO Senior Medical Officer Location Raiganj West Bengal Accommodation Provided by the hospital Qualification MBBS Experience Minimum 2 years in hospital settings preferred Job Summary We are seeking a dedicated and proactive Medical Officer MBBS to manage both clinical responsibilities and administrative coordination...
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Baddi, HP, IN Glowfin Full timeOversee Production Planning Quality Management entire manufacturing operation printing lamination pouch making Preference for qualified engineer Flexible Packaging 10 000 TPA Job Type Full-time Pay 1 000 000 00 - 1 500 000 00 per year Work Location In person
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(3 Days Left) Ip Billing Executive
2 weeks ago
Erattupetta, KL, IN Sunrise Hospital Erattupetta Full timeJob Title IP Billing Executive Location sunrise Hospital Pala- Erattupetta Road Kaduvamuzhi Erattupetta Kerala 686121 Job Type Full-Time Requirements Bachelor s Degree Diploma in Commerce Hospital Administration or equivalent Minimum 2 years of proven experience in hospital inpatient billing Strong knowledge of TPA insurance processes and hospital billing...
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Tpa Executive
5 days ago
Rudarpur, UL, IN HB SPECIALITY HOSPITAL & RESEARCH INSTITUTE Full timeAll knowledge of computer like ms office internet and manages health insurance claims and patient billing processes by liaising between patients hospitals and insurance companies Job Type Full-time Pay 9 000 00 - 15 000 00 per month Location Rudarpur Uttarakhand Required Work Location In person
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Billing Lead
5 days ago
Malappuram, KL, IN REGNANZ EDUCATION Full timeRole Overview The Billing Head will oversee the hospital s billing operations ensuring accurate timely and compliant billing processes across inpatient outpatient and emergency services This role is critical in maintaining revenue cycle integrity and optimizing financial performance Key Responsibilities Lead and manage the billing department including staff...