Tpa Coordinator

1. Claims ProcessingVerify, process, and submit insurance claims with accurate documentation. Track claim status, address rejections, and handle appeals if necessary. 2. Patient AssistanceGuide patients on claim procedures, coverage details, and exclusions. Assist with pre-authorizations for treatments as required. 3. Coordination with Insurance...

**Key Responsibilities**: **1. Insurance Coordination & Approvals** - Liaise with **TPAs and insurance companies** for pre-authorization and claim processing. - Ensure timely **cashless approvals** for inpatient admissions and procedures. - Regularly follow up on **pending approvals, claim rejections, and reimbursements**. - Provide **insurance eligibility...

Hiring: TPA CoordinatorLocation: BhopalExperience: 1–5 Years (Hospital/Healthcare TPA experience preferred)Job Type: Full-timeKey ResponsibilitiesTPA (Third Party Administrator) से संबंधित सभी documentation और claim process को संभालनाCashless authorization की request भेजना और उसका...

Claims Management: Coordinate with TPAs for pre-authorization, cashless treatment approvals, and claims processing. Verify documents and ensure accurate and timely submission of claims. Track claim statuses and follow up on pending or rejected claims. Patient Coordination: Guide patients on eligibility and processes for PMJAY and TPA-related services. Ensure...

**Job Title**: TPA Billing Executive **Department**: Billing / Accounts **Reports To**: Billing Manager / TPA Coordinator / Accounts Head **Location**: Jabalpur Hospital & Research Centre **Job Summary**: The TPA Billing Executive is responsible for managing and processing cashless and reimbursement claims through various Third-Party Administrators...

**Claims Processing**:Handling all stages of insurance claims, from initial submission to final settlement, including verifying eligibility, processing claims, and ensuring accurate and timely payments. - **Coordination with Insurance Companies**:Liaising with various insurance companies to facilitate smooth claim processing and address any issues that may...

TPA & Insurance CoordinationAct as the primary liaison between the hospital and all empaneled TPAs and insurance companies.Ensure all documentation required for cashless and reimbursement claims is complete and submitted on time.Cashless AuthorizationFacilitate the process of obtaining pre-authorization approvals for cashless treatments.Monitor turnaround...

**Job Title**: TPA & Mediclaim Executive **Location**: Indore **Salary**: ₹20,000 - ₹35,000 per month (based on experience) **Job Type**: Full-time **Job Summary**: **Key Responsibilities**: - Coordinate with TPAs and insurance companies for cashless approvals and claim settlements. - Handle patient admission and discharge processes related to...

Welcome patients & visitors; greet them, collect required information, register them (in OPD / IPD) as per hospital protocols. - Verify patient details, identity, insurance / TPA documents if applicable. - Generate bills for services rendered; process payments (cash / card / digital ) accurately. - Issue receipts; ensure all transactions are recorded;...

**About the Role**: **Key Responsibilities**: - Register eligible patients under the Ayushman Bharat PMJAY scheme. - Verify patient eligibility using government portals. - Coordinate with doctors, patients, and Ayushman helpdesk for smooth approvals. - Maintain and upload accurate documentation and records on the PMJAY portal. - Assist patients and families...