Tpa Executive

2 days ago

Navi Mumbai Maharashtra, India MPCT Hospital, Sanpada Full time

**Responsibilities**:

- 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 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.

Pay: ₹22,000.00 - ₹30,000.00 per month

**Benefits**:

- Health insurance

Schedule:

- Day shift

Supplemental Pay:

- Overtime pay
- Performance bonus
- Shift allowance
- Yearly bonus

Ability to commute/relocate:

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

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work: 2 years (required)

**Language**:

- Marathi, English, HIndi (required)

Willingness to travel:

- 100% (required)

Work Location: In person

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