Tpa Claims Processor

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

Verify patient insurance coverageGenerate bill estimate based on hospital guidelines and determine patient copay / depositHandle end to end documentation for billing and claims of health insurance patients based on information provided by the hospitalObtain required case information and signoff from hospital and share information with insurer / TPADraft...

**Job profile: CRM helpdesk. (TPA executive)** **We need people only from TPA Insurance Companies who has worked as a CRM helpdesk.(compulsory)** CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by...

Are you a fresh graduate looking to kickstart your career in the healthcare industry? Accenture Client Payroll - J2W is hiring for the role of Claims Processor (Non-Voice Process) in Airoli, Mumbai. As a Claims Processor, you will be a key player in providing business solutions for the healthcare claims function. This is a non-voice backend process that...

**Speciality -**Health Claims | Claims Processing | Insurance Claims | Health Insurance | TPA | Ams - **Position - **Medical Cordinator - TPA - **Qualification - **BAMS, BHMS - **Experience - **3-6 - **Desired Skills Required - **Health Claims | Claims Processing | Insurance Claims | Health Insurance | TPA | Ams

**Department**: Billing / Finance / TPA **Reports To**: TPA Manager / Billing Head / Hospital Administrator **Employment Type**: Full-time **Job Summary**: The TPA (Third Party Administrator) Executive is responsible for coordinating and managing all aspects related to cashless insurance and TPA billing operations in the hospital. This includes...

**Responsibilities and Duties.** - Serve as a point of contact for Insurance related inquiries - Create a consistent, positive work atmosphere through the communication - Close interaction with respective department at hospital - To interact with hospital insurance patients. - Interact with Hospital Management, Doctors, Medical and non-medical staff at the...

Job Summary: Manage TPA (Third Party Administrator) operations, ensuring efficient processing of health claims. Coordinate with healthcare providers, insurers, and customers to resolve claim-related issues. Analyze data to identify trends and areas for improvement in the claims process. **Responsibilities**: - Coordinate with healthcare providers,...

Key Responsibilities: - **TPA Coordination**: - Liaise with Third Party Administrators (TPA) to manage and process insurance claims for patients admitted to the hospital. - Coordinate with insurance companies for pre-authorization of treatment and medical procedures. - Ensure that all required documents for claim submission are complete, accurate, and...

**Key Responsibilities**: - **Claims Management**: - Handle the entire claims processing cycle, including claim receipt, assessment, approval, and settlement. - Ensure claims are processed within the agreed timelines and in accordance with the policy terms. - Coordinate with clients and service providers to resolve claim-related queries. - **Policy...