Tpa & Billing Executive

The TPA Executive in the hospital oversees the management of relationships with Third-Party Administrators (TPAs) to ensure efficient billing, timely reimbursement, and adherence to regulatory standards. They are responsible for optimizing revenue cycle processes, maintaining high levels of customer satisfaction, and driving strategic initiatives to enhance...

**Responsibilities**: - Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Couriering the hard copy of patient's medical file to the Insurance companies. - Responsible for all co-ordination activities...

**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...

**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...

Centre For Sight, Varanasi is hiring for the below Post: Post - TPA Executive Location - Mahmoorganj, Varanasi Experience - Atleast 1 Year Qualification - Minimum Graduate Salary - 13 K to 16 K Inhand **Job Types**: Full-time, Permanent Pay: ₹9,681.58 - ₹20,000.00 per month **Benefits**: - Health insurance - Leave encashment - Provident...

**Department** -: - TPA & Billing **Job Position** -: - Billing Executive/ Incharge **Job** **Specification** -:

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...

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;...

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...

giving counselling to patients relatives regarding estimated expenses as well as corporate rules and formalities To be responsible for preparing and dispatching all IPD bills and keeping its records as per set protocols To be responsible for preparing reviewing and sending patient statements to various insurance companies and other panel organization ...