Tpa Doctor

2 days ago

Mahim Mumbai Maharashtra, India S.L.Raheja Hospital (A Fortis Associate) Full time

Qualification - BAMS/BHMS

Experience - 2-5 Years

**Job Duties & Responsibilities**:
1. Handling of TPA /Corporate patients for cashless. Instruct and get Undertaking /Consent form filled by patient /relative.

2.To do a Cashless formalities like Precut form /Query reply /Discharge process etc.Liase with Department representative involved to resolve query and Issues related with Cashless.

3. Track the TPA patients through HIS system and maintain TPA patient Tracker as per format.

4. Follow up with TPA’s for approval and inform the status to patients relatives /patients.

5. Prepare Claim settlement document post Discharge of the patient and maintain record of Total Business and File dispatched, also update on daily basis and share with TPA Incharge.

6. To take entries of payment received through cheque ,NEFT etc.To make Refund statement and submit on daily basis.

7. To process CGHS cases through UTI TSL,check online on daily basis and resolve query as and when required.

8. Submission of Total Business on daily basis also take follow up for Outstanding payment with TPA and send mail weekly.

9.To do Finanacial counseling of Surgeries /Procedure of Cash/Corporate/TPA patient after liasoning with Treating Consultants and Counselling Incharge.

11. Follow up for Outstanding Bills and resolve related queries and update the status to Incharge /Head
- PCS.

10. Prepare Estimate letter for CGHS /MBPT patient and Book OT/Cathlab for Surgeries.

Schedule:

- Day shift

Work Location: In person

Expected Start Date: 05/12/2023

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