Insurance Tpa

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 from...

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...

**Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the organization while settlement...

**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...

**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...

The TPA (Third Party Administrator) Executive is responsible for handling all insurance-related activities, including managing claims processing, coordination with insurance companies, and ensuring smooth functioning of TPA processes for patients. The role requires excellent communication skills and attention to detail to ensure that patients receive timely...

1.Ayushman/ECHS/CGHS/CAPF etc. claim submission process 2.PSU Billing & TPA pre - authorization process 3.Medical billing, MIS and documentation 4.TPA reimbursement cases 5.Manage record of TPA cases & collection 6.Coordination with corporate, brokers & Insurance companies. 7.Track The TPA Patients Through HIS System And Maintain TPA Patient Tracker As Per...

**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...

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...