Insurance Auditor tpa

1 week ago


Mumbai Maharashtra, India Legpro consultants pvt ltd Full time

**HIRING FOR INSURANCE AUDITOR " TPA INDUSTRY "**

**Experience required**:
**Must have minimum 3 years of experience in insurance Auditing & Mediclaim reimbursement process.**
- Claims Management**

**Responsibilities**:

- Be involved in the claims management processes to identify any discrepancies in documentation submitted so as to verify the submitted claims are eligible for payment.
- Responsible to train claims processing teams to be aware of the possible abuse practiced in the healthcare industry.
- Conduct comprehensive audits of claims processing activities to ensure adherence to industry standards and internal policies.
- Claims Management**

**Responsibilities**:

- Be involved in the claims management processes to identify any discrepancies in documentation submitted so as to verify the submitted claims are eligible for payment.
- Responsible to train claims processing teams to be aware of the possible abuse practiced in the healthcare industry.
- Conduct comprehensive audits of claims processing activities to ensure adherence to industry standards and internal policies.

**Salary**: ₹300,000.00 - ₹500,000.00 per year

**Benefits**:

- Provident Fund

Schedule:

- Day shift

**Experience**:

- total work: 3 years (preferred)

Ability to Commute:

- Mumbai, Maharashtra (required)

Ability to Relocate:

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

Work Location: In person

**Speak with the employer**
+91 9205959866


  • Tpa Health Care

    2 weeks ago


    Andheri, Mumbai, Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Medi Assist **Job Title **:TPA Manager Required **Role/Position**: Permanent **Education**: BAMS,BHMS, BDS, BPT & MPT **Shifts**: Rotational Shifts ( work from office) **Job role**: TPA/ Health Insurance ∙Focus on claims analysis, ensure quality of claims processed and prepare data analysis reports ∙ Prepare the standard operating...


  • Mumbai, India Indira Ivf Hospital Full time

    Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA's Ensuring insurance deductions/rejections are at a...


  • Mumbai, Maharashtra, India Indira Ivf Hospital Full time ₹ 2,50,000 - ₹ 7,50,000 per year

    Role & responsibilitiesPlan and execute Insurance/TPA tie ups across Matcare/IVF centresGuide and monitor unit level teams in Insurance claims processingQuery resolution from Insurance/TPAs in coordination with unit admin/clinical teamsEnsuring timely receivables from Insurance/TPAs as per agreed SLA'sEnsuring insurance deductions/rejections are at a...


  • Borivali, Mumbai, Maharashtra, India Pravaayu Healthcare Pvt Ltd Full time

    Job Title: TPA Executive Job Summary: The TPA Executive will be responsible for managing Third-Party Administrator (TPA) processes within the hospital, ensuring efficient front desk operations, effective customer interactions, meticulous insurance oversight, and accurate administrative documentation. Key Responsibilities: **Front Desk Management**: - Serve...


  • Prabhadevi, Mumbai, Maharashtra, India Fast Track Jobs Full time

    We Requires **TPA Insurance Operation Executive** for a **Helthcare Company** at **Prabhadevi**. Job Title**:TPA Insurance Operation Executive** Experience **:Min 1- 5 years** Location**:Surgycare Insurance - Prabhadevi Mumbai** **Job Description**: Handling of reimbursement claims and check eligibilities of policy holders Handling of queries related to...

  • Tpa Coordinator

    1 week ago


    Mumbai, Maharashtra, India Holy Family Hospital, Bandra Full time

    **Job description** **Responsibilities**: **Handling the TPA Process of hospital** - 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 Coordinator

    5 days ago


    Mumbai, Maharashtra, India Holy Family Hospital, Bandra Full time

    **Job description** **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 companies. - Responsible for all...

  • Tpa

    1 week ago


    Borivali, Mumbai, Maharashtra, India Nakshatra Skill Development Campus PVT.LTD Full time

    **Greetings from Hospital Staff** **HOSPITAL STAFF PROVIDES 100% FREE JOBS** **Post**: TPA Co-Ordinator **Location**: Borivali **Experience**: 1-2 Year in TPA (Cashless / Mediclaim / Insurance) **Salary**: 12000-18000 **Shift**: Day Shift **Experience**: - total work: 1 year (preferred) Work Location: In person

  • Tpa Cordinator

    5 days ago


    Navi Mumbai, Maharashtra, India SHAMAL HOSPITAL & ICU CARE Full time

    Shamal hospital and ICU CARE 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. - Handling billing Department, Implants bill updating & reconciliation. - Daily co-ordination with the patient and Hospital...

  • Tpa Cordinator

    23 hours ago


    Navi Mumbai, Maharashtra, India SHAMAL HOSPITAL & ICU CARE Full time

    Shamal hospital and ICU CARE 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. - Handling billing Department, Implants bill updating & reconciliation. - Daily co-ordination with the patient and Hospital...