Tpa Executive

4 days ago

Delhi, India Sri Vaidya Hospital Full time

Urgent Hiring for TPA Executive. Job Description is as follows:

- Manage the entire operation of Front Office which includes Admission, help desk, Billing & TPA department.
- Development and continuous process of revision of guidelines of Front Office, Registration, Billing, admissions, TPA and other activities.
- Manage Insurance cashless pre-authorization /claim submission (day to day operation).
- Supporting Insurance & Cash billing department, Credit receivable follow ups and update the same to the higher officials.
- Pre-Investigate all claims documents before dispatch to the Insurance companies.
- Manage patient queries, Maintain credit MIS / Claims tracker sheet Providing Finance counseling to the patients. Maintain updated hospital data, Finalize Doctor pay-out.
- To give the estimate to the patients according to the treatment advised and as per the hospital tariff.
- To connect with Insurance company and get the relevant information required for claims
- To maintain appropriate departmental documentation.
- Coordinating all kinds of internal billing queries.
- Maintaining good interpersonal relation with insurance companies and patient/attendant.
- Ensuring post discharge insurance queries resolved within timelines.
- Audit claim files, check claim papers according to disease, examine medical reports, match prescriptions and in case of deficiencies of documents, put queries and to make correspondence with clients.
- Implementation of billing process and system.
- Verification of all credit bills for non-clinical aspects.
- To regularly monitor and follow-up with Insurance companies for timely settlement of claims.
- To supervise all the TPA admissions and handle all the queries of the patients.
- To ensure timely submission of credit bills to TPA/Corporate/PSU.
- To ensure 100% accuracy of Cash Count at all the times.
- Should be graduate and holding relevant education qualification.
- Should have Effective communication skills.
- Exceptional customer service skills.
- Interacting with customers & ensuring a high degree of Customer Service.
- Should have minimum 2- 5 years experience in Billing & TPA department
- Should have good working knowledge in excel
- Ability to build a good rapport with customers.
- Should be able to maintain patient confidentiality.
- Should be having good time management skills.
- Should be willing to join immediately.

**Job Types**: Full-time, Regular / Permanent

**Salary**: ₹15,000.00 - ₹25,000.00 per month

Schedule:

- Day shift
- Flexible shift

**Experience**:

- total work: 3 years (preferred)

**Speak with the employer**
+91 9618317206

  • Tpa Executive

    2 weeks ago

    Karol Bagh, Delhi, Delhi, India SR Expert Services Full time

    Urgent Hiring For TPA Executive Urgent Hiring for TPA Executive Profile - TPA Executive Salary - 20K to 25K Experience - 3 to 7 Years Location - Karol Bagh, Delhi Qualification - Any Graduate / Post Graduate JD - Patient Handling Query reply, document submission intimation to TPA, Day to day tracking of each claim and process for approval, Having...

  • Tpa Executive

    4 days ago

    Delhi, Delhi, India EEPIC Digital Full time

    **Job Title**: TPA Executive **Location**: Pitampura New Delhi - 34 **Salary**: ₹25,000 per month **Experience Required**: 2-3 Years **Key Responsibilities**: - Manage and process health insurance claims through TPAs. - Coordinate with patients, insurance providers, and hospital billing departments for smooth claim settlements. - Ensure accuracy and...

  • Tpa Executive

    1 week ago

    Delhi, Delhi, India East Delhi medical Centre Full time

    **Role Description** This is a full-time on-site role for a TPA Executive at East Delhi Medical Centre. The TPA Executive will be responsible for handling third party administration activities, coordinating with insurance companies, verifying patient insurance coverage, and ensuring timely reimbursements. **Qualifications** - Knowledge of Third Party...

  • Tpa Executive

    15 hours ago

    New Delhi, India Divya Prastha Hospital Full time

    To accomplish work pertaining to TPA section from the entry of patient in the hospital till the respective bill settle. Work experience in NABH accredited hospital is mandatorily. **Salary**: ₹8,442.74 - ₹31,450.67 per month Schedule: - Flexible shift Ability to commute/relocate: - Palam Colony, New Delhi, Delhi: Reliably commute or planning to...

  • Tpa Executive

    2 weeks ago

    Delhi, Delhi, India Madhu Man Power Solution Full time

    Urgent Hiring ! Hiring ! Post: - TPA Executive Experience: - Minimum 1 to above Years in same field Salary: - 18k to 25k Exp: - Should be hospital backroud in same filed. Education; - Graduate from any stream. **Key Responsibilities**: Panel Management: Assist with onboarding and maintaining TPA and insurance provider panels, ensuring providers are...

  • Executive/ CRM

    15 hours ago

    Delhi, Delhi, India Safeway Insurance TPA Pvt. Ltd Full time

    We are hiring Executive profile for Health Insurance TPA Co. Job location will be Dehradun. Minimum 1-3 year experience should be of Insurance Co/ TPA/ Broker/ Healthcare Industry. **Job Types**: Full-time, Permanent Pay: ₹15,000.00 - ₹25,000.00 per month **Benefits**: - Health insurance - Provident Fund **Experience**: - Health TPA: 1 year...

  • Tpa Billing Executive

    1 week ago

    Auchandi, Delhi, Delhi, India RADIOUS HOSPITAL PVT LTD Full time

    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 co-ordination activities from patient's admission to...

  • Tpa Executive

    15 hours ago

    Nirman Vihar, Delhi, Delhi, India Stalwarts Servicios Full time

    **Key Responsibilities**: - Coordinate with insurance companies and patients for cashless and reimbursement claims. - Maintain accurate records of claim submissions, approvals, and payments. - Assist patients in understanding their insurance policies and claim procedures. - Liaise with hospital departments for smooth claim processing. - Ensure compliance...

  • TPA-Executive

    2 days ago

    Delhi, Delhi, India Nks Hospital Full time

    Role & responsibilities-Understanding of cashless claims, reimbursement, policy terms, and exclusions.-Liaising with TPAs, insurance companies, and hospital departmentsHandling pre-authorization, claim submission, follow-ups, and settlements.-Accurate preparation and maintenance of patient files, approvals, and reports.-Basic knowledge of diagnoses,...

  • Tpa Billing Executive

    15 hours ago

    Rohini, Delhi, Delhi, India Salokaya College of Nursing Full time

    Medical, Hospital **Full job description** - PMJAY Patient Registration and Claim work - 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...