Tpa Executive

**Admission**
- Counselling of the patient for entire process.
- Explaining the charges as suggested by Consultant.
- Coordinate the pre Authorization with Medical Officer, If Medical Officer Busy Coordinate with consultant directly.
- Pre Authorization to the insurance company.
- Resolving the Quarry in coordination with Medical Officer and Consultant, if any.
- Communicate the Approval to the Concerns.
- Coordinate the comfortable admission
- Explaining the Patient the Package and treatment process details.
- Verification of Patient document and Admission Acknowledgment from BPA Portal.

**During/ Over Stay**
- Touch the patient every day and ask the wellbeing.
- Explaining Preapproval inclusions and exclusions.
- Explain the overstay than the approval, If any.
- Explain the Tentative Co-payments, if any.
- Keep patient and the relative Updated on daily Basis.
- Unlisted Procedure / Implant / Overstay Approval as per the protocol.
- Communicate the Additional Approval of Unlisted Procedures / Implants / Overstay to the Treating Consultant and other concerns.
- If additional Approvals are not sanctioned by the Authorities; council the patient for discharge.

**Discharge**
- File Processing to the final approval.
- Resolving the quarry, if any in coordination with the medical officer and consultant.
- Uploading the documents to the concerns company’s portal as per the agreement.
- Getting the final approval.
- Counselling about the Co-payments, if any.
- Dispatch the Discharge file within 48 hours of discharge Pvt Insurance.

- Cross check additional approvals unlisted procedure / Implants /Over Stay.
- Check the billing done as per the approvals and billing policy of public insurance.
- Upload the Bills / Discharge Summary / Investigation reports / Additional Approvals, if any; at the time of discharge on the portal **with in 48 hours**.

**Reconciliation**
- Uploading all the documents and bill and Generating Acknowledgement ID with in 48 Hours of discharge.
- Clearing the discrepancy by sending hospital rep. with justification.
- Update the dispatched File Status.
- Start the Soft Follow up after 15 days.
- Cross check the Payment Advise / UTR / Portal data with the received payment.
- Find the discrepancies in the payment, if any.
- Inform the discrepancies to the Insurance Manager

**Salary**: ₹8,855.10 - ₹16,000.55 per month

Schedule:

- Day shift
- Morning shift

Ability to commute/relocate:

- Pathankot, Punjab: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work: 2 years (preferred)

**Speak with the employer**

+91-XXXXXXXXXX