
Tpa Executive
2 days ago
**Job Title**: TPA Executive
**Location**: Harmony Institute of Excellence in Reproductive Health, Bhopal
**Employment Type**: Full-Time
**Job Overview**:
**Key Responsibilities**:
- Process and verify insurance claims for cashless and reimbursement treatments.
- Coordinate with insurance companies and TPAs for approvals, claim settlements, and queries.
- Assist patients in understanding their insurance coverage and required documentation.
- Ensure timely submission of insurance claims and follow up on pending approvals.
- Maintain accurate records of all TPA-related transactions and documentation.
- Work closely with the billing and finance department to ensure smooth processing of insurance claims.
- Resolve claim disputes and escalate issues when necessary.
- Stay updated on insurance policies, hospital billing systems, and healthcare regulations.
**Qualifications & Experience**:
- **Educational Qualification**: Bachelor’s degree in Healthcare Management, Hospital Administration, Commerce, or a related field.
- **Experience**: 1 to 3 years of experience in TPA coordination, hospital billing, or insurance processing.
- Strong knowledge of health insurance policies, claim procedures, and medical billing.
- Good communication and interpersonal skills for patient and insurer coordination.
- Proficiency in hospital management software and MS Office.
**Why Join Us?**
- Opportunity to work in a reputed reproductive health institute.
- Competitive salary and career growth opportunities.
- Supportive and professional work environment.
Pay: ₹8,086.00 - ₹35,000.00 per month
Work Location: In person
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