Tpa Executive

**Designation-**Executive in Claims **Job Location**:Jaipur **Industry-Health Insurance or TPA Company** **Immediate Joiner required.** **Job Description**: **Key Responsibilities**: **Claims Processing**: 2.Review and process health insurance claims as per policy guidelines and SLA timelines. 3.Coordinate with hospitals, clients, and internal teams for...

Company DescriptionJeevan Rekha Superspeciality Hospital in Jagatpura, Jaipur, is dedicated to providing advanced medical and healthcare services to all age groups and economic strata of society. With state-of-the-art equipment, 150 beds, modular operation theaters, and a team of internationally recognized medical professionals, the hospital offers 24/7 care...

Preparing discharge files for TPA. - Checking the proper document’s TPA. - Further stay approval: ECHS Maintain tracker admitted patient -ECHS /TPA’s. - Couriers the TPA documents. - Govt. added organization (UOR/RVVNL etc.) Billing and dispatched. - Uploading TPA documents on portal for timely payment. - Prepare final claim file send to insurance...

Role & responsibilitiesCoordinate with patients, TPAs, and insurance companies for pre-authorization, approval, and final claim settlements.Prepare and submit claim documents and bills to TPAs/insurance companies in the prescribed format.Follow up regularly with TPAs for claim status, pending queries, and settlement updates.Verify patient insurance details,...

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...

Graduate with min 1-2 Year Experience in hospital TPA Department **Salary**: ₹10,000.00 - ₹20,000.00 per month **Benefits**: - Provident Fund Schedule: - Fixed shift Ability to commute/relocate: - Jaipur, Rajasthan: Reliably commute or planning to relocate before starting work (preferred) **Experience**: - total work: 1 year (preferred)

Role & responsibilitiesHandle claim submission, follow-up, and settlement with TPAs and government panels.Track outstanding payments and prepare periodic reconciliation reports.Coordinate with TPAs, insurance companies, and internal departments for claim clarifications.Maintain records of claims, payments, and rejections in both Excel and Tally.Post...

Vidal is hiring for Claims-Executive(Processor) Non Medico Work Location**:Jaipur** **Work from Office only** **Key Responsibilities**: Claim processing which includes NME evaluation Tariff applicability Policy T & c Co-pay Discount deduction Investigation criteria knowledge Insurer wise policy T&C knowledge Basic Documentation required for claim...

**Job Title**: Billing Executive - Credit & TPA **Department**: Billing / Finance **Location**: HCG Hospital **Open Positions**: 3 **Experience Required**: 2 - 6 years **Joining**: Immediate **About HCG Hospital**: HCG (Healthcare Global Enterprises Ltd.) is India’s largest provider of cancer care and a leading network of multi-specialty hospitals...

Expertise in Excel, formulas, V look up etc - Escalation handling, interdepartmental coordination. - Knowledge of claims, enrollment, policy etc. - Outstanding monitoring and clearance. - Provide help and support to your customers through telecalling - Strong communication skills and command of the English language - Previous experience in a telecaller job...