Tpa Staff

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...

The TPA Executive in the hospital oversees the management of relationships with Third-Party Administrators (TPAs) to ensure efficient billing, timely reimbursement, and adherence to regulatory standards. They are responsible for optimizing revenue cycle processes, maintaining high levels of customer satisfaction, and driving strategic initiatives to enhance...

**Key Responsibilities**: **1. Insurance Coordination & Approvals** - Liaise with **TPAs and insurance companies** for pre-authorization and claim processing. - Ensure timely **cashless approvals** for inpatient admissions and procedures. - Regularly follow up on **pending approvals, claim rejections, and reimbursements**. - Provide **insurance eligibility...

TPA & Insurance CoordinationAct as the primary liaison between the hospital and all empaneled TPAs and insurance companies.Ensure all documentation required for cashless and reimbursement claims is complete and submitted on time.Cashless AuthorizationFacilitate the process of obtaining pre-authorization approvals for cashless treatments.Monitor turnaround...

Clerical staff for St. Joseph’s Hospital, Ghaziabad walk-in-interview a.To type accurate discharge summary of IPD patients.. b. To type accurate and timely investigation & diagnostic Reports. c. To feed timely, accurate investigation & diagnostic reports in HIS. d. Effectively coordinate with ward staff nurse and RMOs for timely completion of all...

a. To type accurate discharge summary of IPD patients.. b. To type accurate and timely investigation & diagnostic Reports. c. To feed timely accurate investigation & diagnostic reports in HIS. d. Effectively coordinate with ward staff nurse and RMOs for timely completion of all discharge summaries of IPD patients. e. To effectively coordinate for timely...

Make the bills and collect the cash according to the price list and written norms. - Cash collected from other counters to be counted properly and entered in the respective registers. - Help the accounts In-charges and assistants in all their work if needed. - Hand over the cash collected with detail of the summary to In-charges before closing the duty. -...

**Operations Management**: - Supervise daily hospital operations including front office, billing, patient admissions, discharges, OPD/IPD flow, and facility management. - Coordinate with medical, nursing, housekeeping, pharmacy, and support teams for smooth workflow. - Oversee procurement, inventory management, and vendor relationships. **Patient...

**Hiring for Insurance Advisor in Hospital.** **Responsibilities -** 1. Claims ProcessingVerify, process, and submit insurance claims with accurate documentation.Track claim status, address rejections, and handle appeals if necessary. 2. Patient AssistanceGuide patients on claim procedures, coverage details, and exclusions.Assist with pre-authorizations...

Make the bills and collect the cash according to the price list and written norms. - Cash collected from other counters to be counted properly and entered in the respective registers. - Help the accounts In-charges and assistants in all their work if needed. - Hand over the cash collected with detail of the summary to In-charges before closing the duty. -...