Tpa Executive

2 days ago

Meerut Uttar Pradesh, India Shubhkamna Hospital Full time

**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 patient's admission to discharge.
- Handling billing Department, Implants bill updating & reconciliation.
- Daily co-ordination with the patient and Hospital staff.
- Preparing split bills/ Doctor charges etc.
- Handling all TPA Portals.
- Outstanding follow-up with TPA.
- Monthly Review report.
- To obtain and review referrals and authorizations for treatments.
- To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
- Must be aware of norms of the insurance sector.
- Daily follow up with Insurance companies to pass or clear the Health Insurance claims.

**Requirements**:

- Bachelor's degree in any discipline or equivalent.
- Must have min. 1 - 5 years of experience.
- Experience into Health care is must.

Pay: ₹9,583.76 - ₹25,000.00 per month

**Benefits**:

- Cell phone reimbursement

Schedule:

- Day shift
- Morning shift
- Night shift
- Rotational shift

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

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