Tpa Executive

17 hours ago


Moradabad Uttar Pradesh, India Ujala Cygnus Brightstar hospital Full time

**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 arise.
- **Patient Communication**:Counseling patients and their families regarding insurance coverage, pre-authorization procedures, and claim status updates.
- **Pre-Authorization**:Obtaining and managing pre-authorization for treatments and procedures, ensuring they comply with insurance policies.
- **Documentation and Record Keeping**:Maintaining accurate patient files, uploading them to TPA portals, and ensuring compliance with regulatory guidelines.
- **Billing and Reconciliation**:Handling hospital billing related to insurance claims, ensuring accurate billing practices, and reconciling accounts with insurance companies.
- **Reporting**:Preparing regular reports on TPA activities, approvals, and settlements for management review.
- **Compliance**:Ensuring adherence to all relevant regulations and guidelines set by state programs and insurance policies.

Pay: ₹10,114.75 per month

**Benefits**:

- Provident Fund

Schedule:

- Day shift

Supplemental Pay:

- Overtime pay

Work Location: In person


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