Tpa Coordinator

KR Business Solutions (KR) is a prominent management consulting service provider that offers "requirement-based" services to hospitals and healthcare organizations throughout India. We offer empanelment consulting, quality accreditations (NABH/NABL/ISO), cashless/reimbursement claim settlement, and hospital planning and development. We have been established...

Role & responsibilitiesCoordinate with patients, TPAs, and insurance companies for pre-authorization, approval, and final claim settlements.Prepare and submit claim documents and bills to TPAs/insurance companies in the prescribed format.Follow up regularly with TPAs for claim status, pending queries, and settlement updates.Verify patient insurance details,...

Vidal is hiring for Claims-Executive(Processor) Non Medico Work Location**:Jaipur** **Work from Office only** **Key Responsibilities**: Claim processing which includes NME evaluation Tariff applicability Policy T & c Co-pay Discount deduction Investigation criteria knowledge Insurer wise policy T&C knowledge Basic Documentation required for claim...

Roles and Responsibilities - Expertise in Excel, formulas, V look up etc - Data handling and MIS maintenance. - Escalation handling, interdepartmental coordination. - Knowledge of claims, enrollment, policy etc. - Outstanding monitoring and clearance. - 1-2 years experience in TPA INDUSTRY is preferable.. Pay: Up to ₹15,000.00 per month **Benefits**: -...

**Role : Medical Officer - CLAIM PROCESSING** 1.Medical Scrutiny by thorough assessment of documents. 2.Provide Medical opinion on admissibility of Insurance Claims. 3.Proficient with medical terms & system. 4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines. 5.Understanding of Claims...

**Job Title**: Billing Executive - Credit & TPA **Department**: Billing / Finance **Location**: HCG Hospital **Open Positions**: 3 **Experience Required**: 2 - 6 years **Joining**: Immediate **About HCG Hospital**: HCG (Healthcare Global Enterprises Ltd.) is India’s largest provider of cancer care and a leading network of multi-specialty hospitals...

**Job Summary**: **Key Responsibilities**: - Develop and maintain relationships with doctors, corporates, TPAs, insurance companies, and referring consultants. - Implement strategies to enhance patient inflow through marketing activities, health camps, and awareness programs. - Conduct market analysis and competitor bench marking to support strategic...

We are looking office staff with following job descriptions; JOB DESCRIPTIONS - Coordinate with healthcare providers, insurance companies, and patients to resolve claims-related issues. - Process medical billing and TPA (Third Party Administrator) claims in a timely manner. - Maintain accurate records of patient interactions, claims processing, and...

Role Overview The Billing Manager will oversee the hospital’s billing operations to ensure accurate, timely, and compliant billing for all patients—cash, insurance, and TPA. The role requires strong analytical skills, leadership, and attention to financial accuracy. Key Responsibilities Supervise inpatient and outpatient billing operations. Ensure...

We are looking a customer care executive JOB DESCRIPTIONS - Coordinate with healthcare providers, insurance companies, and patients to resolve claims-related issues. - Process medical billing and TPA (Third Party Administrator) claims in a timely manner. - Maintain accurate records of patient interactions, claims processing, and follow-ups. - Develop strong...