Tpa Executive

6 days ago

Sikandar Agra Uttar Pradesh, India UJALA CYGNUS RAINBOW HOSPITAL, AGRA Full time

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 financial performance.

**Responsibilities**:

- **TPA Relationship Management**:

- Serve as the primary point of contact for all TPA-related inquiries, escalations, and negotiations.
- Build and maintain strong relationships with TPAs to facilitate seamless communication and resolution of issues.
- Collaborate with TPAs to streamline billing processes, address payment discrepancies, and ensure timely reimbursement.
- **Revenue Cycle Optimization**:

- Oversee the hospital's revenue cycle operations, including coding, billing, claims processing, and collections.
- Analyze revenue cycle metrics and performance indicators to identify areas for improvement and implement corrective actions.
- Develop strategies to minimize denials, reduce days in accounts receivable, and maximize revenue capture.
- **Compliance and Regulatory Oversight**:

- Ensure compliance with federal, state, and local regulations governing healthcare billing and reimbursement.
- Stay abreast of changes in regulatory requirements and implement necessary updates to billing practices and procedures.
- Conduct regular audits and reviews to monitor compliance with TPA contracts and regulatory standards.
- **Financial Analysis and Reporting**:

- Analyze financial data related to TPA reimbursements, billing trends, and revenue cycle performance.
- Prepare regular reports and presentations for senior management, highlighting key performance indicators and financial metrics.
- Identify opportunities for revenue enhancement and cost containment through data-driven analysis and strategic initiatives.
- **Team Leadership and Development**:

- Supervise and mentor revenue cycle staff, providing guidance, training, and performance feedback.
- Foster a culture of accountability, collaboration, and continuous improvement within the revenue cycle team.
- Lead initiatives to enhance staff productivity, efficiency, and customer service excellence.

**Qualifications**:
Pay: ₹11,000.00 - ₹18,000.00 per month

Schedule:

- Day shift
- Fixed shift
- Rotational shift

**Experience**:

- 3YEARS: 2 years (preferred)

Work Location: In person

  • Tpa Executive

    2 weeks ago

    Varanasi, Uttar Pradesh, India Aviyana Ventures Pvt Ltd Full time

    **TPA Executive**: - Handling TPA related all process from billing to co-ordinating 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...

  • Tpa Executive

    2 weeks ago

    Mahmoorganj, Varanasi, Uttar Pradesh, India The Fracture Clinic & Trauma Hospital Varanasi Health care pvt.ltd. Full time

    **Job Title**: TPA Executive **Department**: Billing / Insurance / Administration **Reports To**: TPA Coordinator / Hospital Administrator **Key Responsibilities**:1. **Patient Admission and Insurance Verification**: - Collect and verify insurance documents from patients. - Coordinate with the insurance provider (TPA - Third Party Administrator) for...

  • Tpa Executive

    1 week ago

    Ghaziabad City, Ghaziabad, Uttar Pradesh, India MV Outsourcing Pvt Ltd Full time

    **Job Title**: TPA Executive **Job Summary**: **Key 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...

  • Tpa Executive

    7 days ago

    Bareilly, Uttar Pradesh, India PRATAP HOSPITAL Full time

    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

  • Tpa Executive

    2 weeks ago

    Bawadiya Kalan, Bhopal, Madhya Pradesh, India Harmony Institute of Excellence in Reproductive Health Full time

    **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. -...

  • Tpa Coordinator/executive

    1 week ago

    Gomtinagar, Lucknow, Uttar Pradesh, India THRC Full time

    Need Staffs for TPA Coordinator and Executive, Nursing(ICU OT LAB GENERAL WARD EMERGENCY) RMO GDA Accommodation Available **Job Types**: Full-time, Fresher Pay: ₹10,000.00 - ₹50,000.00 per month Schedule: - Day shift - Morning shift - Rotational shift Work Location: In person

  • Executive

    5 days ago

    Lucknow, Uttar Pradesh, India Safeway Insurance TPA Pvt. Ltd Full time

    We are hiring Executive profile for Health Insurance TPA Pvt. Ltd. Job location will be Bangalore. 0-4 year experience should be of Insurance Co/ TPA/ Broker/ Healthcare Industry will be preferred. Freshers are also welcome. Pay: ₹10,000.00 - ₹18,000.00 per month **Benefits**: - Health insurance - Life insurance - Paid time off Schedule: - Day...

  • Tpa & Billing Executive

    5 days ago

    Noida, Uttar Pradesh, India MANAS HOSPITAL (A UNIT OF SHARMA MEDICAL CENTRE PVT LDT) Full time

    **Responsibilities for TPA & Billing Executive / Manager** Knowledge about GIPSA Billing Govt Panel’s Billing (CGHS, ECHS, Noida Authority) Cash Billing 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...

  • Aayushman Executive

    1 week ago

    Sikandar, Agra, Uttar Pradesh, India UJALA CYGNUS RAINBOW HOSPITAL, AGRA Full time

    1. Your duty hours shall be from 10.00am to 07.00pm. 2. To ensure increasing revenue of the Hospital by increasing numbers of patients in the hospital and increasing third party paying customers of the hospital. 3. To handling all departments of IPD Billing, Credit Patient Dept. (Aayushman ) dispatch & recovery. 4. To establish contacts with corporations,...

  • Tpa Executive

    1 day ago

    Bhelupur, Varanasi, Uttar Pradesh, India Shree Hr services Full time

    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...