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...

We are looking for a TPA coordinator who can assist us from the process of onboarding of insurance empanelment to cashless processing to uploading documents and following up with insurance companies till claim settlements. Pay: ₹15,000.00 - ₹20,000.00 per month **Benefits**: - Cell phone reimbursement Work Location: In person

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...

**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...

Assisting with the preparation of operating budgets, financial statements, and reports. - Processing requisition and other business forms, checking account balances, and approving purchases. - Advising other departments on best practices related to fiscal procedures. - Managing account records, issuing invoices, and handling payments. - Collaborating with...

Must have knowledge on Medical insurance terms & conditions. Able to work independently. Key Skills Medical insurance claims, Basic computer knowledge. Required Experience and Qualifications Minimum 1 year experience in any medical form or hospital. **Salary**: ₹14,000.00 - ₹20,000.00 per month **Benefits**: - Provident Fund Schedule: - Day...

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...

**Job Title**: Field Executive **Location**: NOIDA, UP **Job Type**: Full-Time **Industry**: Healthcare / Insurance / TPA Services **Experience Required**: 1-2 Years **Job Summary**: We are looking for a dedicated and detail-oriented **Field Executive** to manage on-ground activities related to operations. The role involves coordinating with hospitals,...