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Tpa Coordinator

3 weeks ago

Mohali Punjab, India Ace Heart & Vascular Institute Full time

Submit insurance claims accurately and on time
- Verify completeness of claim documents
- Maintain relationships with TPAs and insurance companies
- Negotiate service agreements and monitor performance
- Address issues related to claim settlements or delays
- Confirm patient insurance coverage
- Obtain pre-authorizations for treatments and procedures
- Coordinate with medical staff and insurers for approval
- Track reimbursement trends and optimize revenue
- Reduce claim denials and improve approval rates
- Collaborate with accounts team for appeals and adjustments
- Generate reports on claims status and TPA performance
- Ensure compliance with healthcare insurance regulations
- Update internal policies to reflect regulatory change
- Handle patient inquiries about insurance and billing
- Provide support for denied claims and billing disputes

Pay: ₹25,000.00 - ₹35,000.00 per month

**Benefits**:

- Provident Fund

Work Location: In person