Tpa 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...

**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...

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...

Candidate should be able to handle all medical Insurance claims.Must have knowledge on Medical insurance terms & conditions.Able to work independently.Key SkillsMedical insurance claims, Basic computer knowledge.Required Experience and QualificationsMinimum 1 year experience in any medical form or hospital.Job Type: Full-timePay: ₹15, ₹25,000.00 per...

**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...

**Job Title**: Field Executive **Location**: NOIDA, UP **Job Type**: Full-Time **Industry**: Healthcare / Insurance / TPA Services **Experience Required**: 1-2 Years **Job Summary**: We are looking for a dedicated and detail-oriented **Field Executive** to manage on-ground activities related to operations. The role involves coordinating with hospitals,...

Education - GraduateExperience - 0 to 2 yearsJob Description - Must have knowledge of Insurance and TPA workJob Type: Full-timePay: ₹13, ₹16,000.00 per monthWork Location: In person

The Mediclaim Executive is responsible for coordinating and processing insurance claims related to patient admissions and treatments. The role involves end-to-end handling of pre-authorization, documentation, claim submission, and follow-up with Third Party Administrators (TPAs) or insurance companies, ensuring timely approvals and payments. **Key...

Resolving customer queries within TAT and ensuring smooth claim process - Providing information to the customers and to respond to their claim related queries - Coordinating with the customers/agents for cashless claim settlement - Coordinating with internal stakeholders like enrolment, - Account management, claims, investigation, support team to settle...

Min. Qualification **:B.Com** - responsible for complete awareness of the departmental policy and protocol - Check and the tariff applied by the admission department at the time of the admission - Make daily updates to the bills of all patients from the time they get admitted in the hospital - Satisfactorily respond to any query calls from nursing stations...