Urgent Requirement of Experienced Tpa Medical

We are hiring Medical officer profile for Health Insurance TPA Co. Job location will be Delhi/ Ranchi / Bhopal. Minimum 2-5 years experience should be of Insurance Co/ TPA / Ayushmaan Bharat/Govt schemes & Healthcare Industry.

**Role : Medical Officer - CLAIM PROCESSING** 1.Medical Scrutiny by thorough assessment of documents. 2.Provide Medical opinion on admissibility of Insurance Claims. 3.Proficient with medical terms & system. 4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines. 5.Understanding of Claims...

Urgent Hiring for TPA Executive. Job Description is as follows: - Manage the entire operation of Front Office which includes Admission, help desk, Billing & TPA department. - Development and continuous process of revision of guidelines of Front Office, Registration, Billing, admissions, TPA and other activities. - Manage Insurance cashless pre-authorization...

**Job Title: TPA Executive** **Job Location**: Eye Mantra Hospital, Pachim VIhar, Delhi **Reports To**: TPA Manager / Billing and Insurance Manager **Key Responsibilities**: - **Insurance Verification and Authorization**: - Verify patient insurance details and eligibility at the time of admission or prior to medical procedures. - Liaise with the...

**Role Description** This is a full-time on-site role for a TPA Executive at East Delhi Medical Centre. The TPA Executive will be responsible for handling third party administration activities, coordinating with insurance companies, verifying patient insurance coverage, and ensuring timely reimbursements. **Qualifications** - Knowledge of Third Party...

Role : Medical Officer - CLAIM PROCESSING1.Medical Scrutiny by thorough assessment of documents.2.Provide Medical opinion on admissibility of Insurance Claims.3.Proficient with medical terms & system.4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines.5.Understanding of Claims adjudication / Claims...

We are hiring Networking Manager profile for Health Insurance TPA Co. Job location will be Chennai, Mumbai & Delhi. Minimum 2-5 years experience should be of Insurance Co/ TPA/ Broker/ Healthcare Industry will be preferred.

Key Responsibilities as follows: **1*.**Patient Coordination.* **2. Claims Processing Oversight.** **3. Daily morning round to assess gaps and their resolution.** **4. Relationship Building.** **5. Data Analysis and Reporting.** **6. Compliance Management.** **7. File management.** **8. Continuous Training to RMO & Nursing Officer.** **9. Claim...

Fostering a healthy, safe, and productive work environment and a well-defined positive culture for our employees besides an inclusive, diverse work environment that values our organization's greatest asset, its people, and encourages the empowerment of our staff. Promoting a rewarding work experience that supports the recruitment, hiring, engagement and...

**CLAIM PROCESSING-** 1.Medical Scrutiny by thorough assessment of documents. 2.Provide Medical opinion on admissibility of Insurance Claims. 3.Proficient with medical terms & system. 4.Understanding of Policy terms & conditions with their practical applicability & Various Protocols / Guidelines. 5.Understanding of Claims adjudication / Claims Processing...