Tpa Executive

16 hours ago

Mumbai, India ABACS Full time

**Responsibilities**
- 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 discharge.
- Handling billing Department, Implants bill updating reconciliation
- Daily co-ordination with the patient and Hospital staff.
- Preparing split bills/ Doctor charges etc
- Handling all TPA Portals
- Outstanding follow-up with TPA
- Monthly Review report
- To obtain and review referrals and authorizations for treatments.
- To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
- Must be aware of norms of the insurance sector.
- Daily follow up with Insurance companies to pass or clear the Health Insurance claims

Contact Person

7666237766

**Salary**: ₹20,000.00 - ₹30,000.00 per month

Schedule:

- Day shift

Ability to commute/relocate:

- Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (required)

**Speak with the employer**
+91 7666237766

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