Tpa Executive

**VACANCY FOR TPA- Hospital**

MALE CANDIDATE ONLY

MIN 3 TO 4 YRS EXPERIENCE

SALARY : 25K TO 30K

JOB LOCATION : OMERGA OSMANABAD

We are seeking a highly organized and detail-oriented Third-Party Administrator (TPA) to join our team at Hospital The TPA will be responsible for managing the hospital's relationships with various third-party payers, including insurance companies, government programs, and other healthcare reimbursement entities. This role requires strong communication skills, attention to detail, and the ability to navigate complex healthcare billing processes.

**Key Responsibilities**:

- **Claims Processing**: Manage the end-to-end process of claims submission, including verifying patient eligibility, accurately coding services provided, and ensuring timely submission to third-party payers.
- **Billing and Reimbursement**: Monitor and track payments from third-party payers, identify any discrepancies or denials, and follow up with payers to resolve issues and ensure maximum reimbursement.
- **Contract Management**: Maintain contracts with insurance companies and other third-party payers, ensuring compliance with contract terms and negotiating favorable terms when necessary.
- **Data Analysis**: Analyze billing and reimbursement data to identify trends, track performance metrics, and make recommendations for process improvements.
- **Compliance**: Stay up-to-date on healthcare regulations and payer policies to ensure compliance with billing and reimbursement requirements.
- **Customer Service**: Serve as a point of contact for patients, insurance companies, and other stakeholders regarding billing and reimbursement inquiries.

**Qualifications**:

- Bachelor's degree in Healthcare Administration, Business Administration, or related field.
- Previous experience in healthcare billing, revenue cycle management, or healthcare finance preferred.
- Knowledge of medical coding (ICD-10, CPT, HCPCS) and billing software/systems.
- Strong analytical skills and attention to detail.
- Excellent communication and interpersonal skills.
- Ability to multitask and prioritize in a fast-paced environment.
- Familiarity with healthcare regulations and compliance requirements.

CALL FOR MORE:
9527028100

NO ANY HIDDEN CHARGES FOR JOB FREE JOB FOR CANDIDATE

**Salary**: ₹25,000.00 - ₹30,000.00 per month

Schedule:

- Day shift

**Experience**:

- total work: 1 year (preferred)

Ability to Commute:

- Osmanabad, Maharashtra (required)

Ability to Relocate:

- Osmanabad, Maharashtra: Relocate before starting work (required)

Work Location: In person

**Speak with the employer**
+91
9527028100