Tpa Executive

7 days ago

Bavdhan Pune Maharashtra, India ClaimBuddy Technologies Pvt Ltd Full time

**Job Designation-: Insurance TPA, Claim Specialist**

**Roles & Responsibilities-**:

- Provide Medical opinion for Health Insurance Claims
- Processing of Cashless Requests & Health Insurance Claim Documents
- Proficient with medical terms & system.
- Understanding of Policy terms & conditions & Various Protocols / Guidelines
- Understanding of Claims adjudication / Claims Processing
- Maintaining & Ensuring Standard Operating Procedures & Protocols
- Ailment Wise ICD & Procedure Coding
- Manage volumes effectively & efficiently to maintain Turnaround time of processing cases
- VIP Claims Processing and TAT Maintenance
- Claim Case Management / Cost Management

**Requirements-**:

- At least 2-3 yrs experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital
- Good Excellent oral and written communication, negotiation and decision-making skills.
- Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.

Immediate Joiner

**Job Type**: Permanent

Pay: ₹18,110.25 - ₹24,862.52 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

  • Tpa Executive

    2 weeks ago

    Dhanori, Pune, Maharashtra, India Bapat Multispeciality Hospital Full time

    **Department**: Billing / Finance / TPA **Reports To**: TPA Manager / Billing Head / Hospital Administrator **Employment Type**: Full-time **Job Summary**: The TPA (Third Party Administrator) Executive is responsible for coordinating and managing all aspects related to cashless insurance and TPA billing operations in the hospital. This includes...

  • TPA Executive

    2 weeks ago

    Dhanori, Pune, Maharashtra, India Bapat Multispeciality Hospital Full time ₹ 2,40,000 - ₹ 4,20,000 per year

    Department: Billing / Finance / TPAReports To: TPA Manager / Billing Head / Hospital AdministratorEmployment Type: Full-timeJob Summary:The TPA (Third Party Administrator) Executive is responsible for coordinating and managing all aspects related to cashless insurance and TPA billing operations in the hospital. This includes pre-authorization, insurance...

  • Tpa Executive

    7 days ago

    Pune, Maharashtra, India Docthub Health Tech Private Limited Full time

    Description - TPAs take care of policy administration tasks and health card issuance. - They also ensure that policyholders have all the required papers and information about their health insurance coverage. - They are also in charge of conducting medical exams before the purchase of an insurance policy to underwrite the health insurance policy. - TPAs...

  • Tpa Executive

    2 days ago

    Mumbai G.P.O., Mumbai, Maharashtra, India Nakshatra Skill Development Campus PVT.LTD Full time

    Post: TPA Executive Location: Vasai Qual: Any Graduate Experience: Minimum 1+ Year of Experience in TPA **Salary**: 20K Shift: Day Skills: TPA coordination, Mediclaim processing, cashless hospitalization, insurance claim handling, documentation & communication skills. Pay: ₹18,000.00 - ₹20,000.00 per month **Benefits**: - Food provided

  • Tpa Billing executive

    2 weeks ago

    Pune, Maharashtra, India Medico Hub Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Contact Mr Nishant Chaudhary WhatsApp Job Title: TPA / Billing ExecutiveLocation: Talegaon, Pune, MaharashtraJob Type: Full-TimeAbout The RoleWe are looking for a detail-oriented and proactive TPA / Billing Executive to manage the billing operations and Third Party Administrator (TPA) processes at our healthcare facility. The ideal candidate should have...

  • Tpa Billing executive

    3 weeks ago

    Pune, India Medico Hub Full time

    Contact Mr Nishant Chaudhary WhatsApp Job Title: TPA / Billing Executive Location: Talegaon, Pune, Maharashtra Job Type: Full-Time About The RoleWe are looking for a detail-oriented and proactive TPA / Billing Executive to manage the billing operations and Third Party Administrator (TPA) processes at our healthcare facility. The ideal candidate should have...

  • Tpa Billing executive

    3 weeks ago

    Pune, India Medico Connect Full time

    Job Title: TPA / Billing Executive Contact Mr Nishant Chaudhary WhatsApp Location: Talegaon, Pune, MaharashtraJob Type: Full-Time About the Role We are looking for a detail-oriented and proactive TPA / Billing Executive to manage the billing operations and Third Party Administrator (TPA) processes at our healthcare facility. The ideal candidate should have...

  • Tpa Billing executive

    2 weeks ago

    Pune, Maharashtra, India Medico Connect Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Job Title: TPA / Billing ExecutiveContact Mr Nishant Chaudhary WhatsApp Location: Talegaon, Pune, MaharashtraJob Type: Full-TimeAbout the RoleWe are looking for a detail-oriented and proactive TPA / Billing Executive to manage the billing operations and Third Party Administrator (TPA) processes at our healthcare facility. The ideal candidate should have...

  • Tpa Billing Executive

    2 weeks ago

    Shivajinagar, Pune, Maharashtra, India Deccan Hardikar Hospital Full time

    **Contact No. 02041095052 (HR Department)** **Contact Time - 10.30 AM To 5.30 PM** **Duty Timing-Morning, General, Evening rotational shift.** - We are looking for TPA coordinator with any graduate with min 1 to 2 years exp. in Hospital/Insurance/TPA Field. - Handling all TPA related processes, from billing to coosdinating with TPA companies. - Counselling...

  • Tpa Billing executive

    1 week ago

    Pune, India Medico Hub Full time

    Job Description Contact Mr Nishant Chaudhary WhatsApp 9411466890 Job Title: TPA / Billing Executive Location: Talegaon, Pune, Maharashtra Job Type: Full-Time About The Role We are looking for a detail-oriented and proactive TPA / Billing Executive to manage the billing operations and Third Party Administrator (TPA) processes at our healthcare...