Tpa Executive

**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 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...

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. Pay: ₹15,000.00 - ₹25,000.00 per month **Benefits**: - Provident Fund **Education**: - Bachelor's...

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...

**Roles & Responsibilites**: - To cordinate between different hospital departments & T.P.A. - To expedite approval confirmation and receiving the payments. - To strategic expansion of cashless patient inflow from TPA & P.S.U. - To overview & plan smooth over all experience of cashless patient in the hospital. - To prioritize & take necessary action to...

**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...

Minimum graduate. Good communication english & hindi Exp minimum 2 years in any hospital will be preferred. Knowledge of TPA is must Pay: ₹10,000.00 - ₹12,000.00 per month **Benefits**: - Paid time off Work Location: In person

**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...

Minimum Experience years (Hospital Experience Only)Candidates should have knowledge of TPA, Panel , CGHS ECHS ,Ayushman & OPD / IPD Billing.Walk in Monday to Saturday, 11:00 AM to 5:00 PM / /