Tpa & Mediclaim Executive

2 weeks ago

Indore Madhya Pradesh, India EEPIC Digital Full time

**Job Title**: TPA & Mediclaim Executive

**Location**: Indore
**Salary**: ₹20,000 - ₹35,000 per month (based on experience)

**Job Type**: Full-time

**Job Summary**:
**Key Responsibilities**:

- Coordinate with TPAs and insurance companies for cashless approvals and claim settlements.
- Handle patient admission and discharge processes related to insurance.
- Collect, verify, and submit necessary documentation for claims processing.
- Follow up on pending claims and ensure timely reimbursement from TPAs.
- Maintain accurate records of all TPA transactions and communications.
- Resolve patient and family queries regarding insurance coverage, claim status, and documentation.
- Work closely with hospital billing, front office, and finance teams to ensure seamless processes.
- Stay updated on insurance policies, TPA guidelines, and regulatory requirements.

**Requirements**:

- Minimum 1-2 years of experience in TPA coordination or medical insurance claim processing.
- Strong knowledge of health insurance policies and claim processes.
- Good communication and interpersonal skills to handle patients and insurance representatives.
- Ability to multitask, manage time efficiently, and work in a fast-paced hospital environment.
- Familiarity with hospital information systems (HIS) is a plus.

**Educational Qualification**:

- Graduate in any discipline; a background in Hospital Administration or Insurance is preferred.

**Working Hours**:

- 6 days a week
- Day shift, with flexibility as per hospital requirements

**How to Apply**:
Pay: ₹8,086.00 - ₹35,466.78 per month

Schedule:

- Day shift

**Experience**:

- TPA: 1 year (preferred)

Work Location: In person

  • Mediclaim Executive

    2 weeks ago

    South Tukoganj, Indore, Madhya Pradesh, India Knee Xpert Full time

    **Job Title**: Mediclaim Executive **Department**: Billing & Insurance **Location**: [Sahaj Hospital] The Mediclaim Executive is responsible for handling all activities related to medical insurance claims, including documentation, claim processing, coordination with TPAs (Third Party Administrators), insurance companies, and patients to ensure timely and...

  • Executive - Mediclaim

    2 hours ago

    Indore, Madhya Pradesh, Central, India Shalby Limited Full time

    `JOB DESCRIPTION BASIC INFORMATIONPosition Title & DesignationExecutiveJD CodeSHB/XXX/DEPT/NNNJob FamilyBusiness SupportDepartmentMediclaimROLE DETAILSTo be filled up as per the requirement of the Division / unit / function / territoryGradeA2Reporting ToMediclaim ManagerDivisionUnitUnit IndoreLOCATION DETAILSPlease mention  the correct office location of...

  • Mediclaim Associate

    2 days ago

    South Tukoganj, Indore, Madhya Pradesh, India Knee Xpert Full time

    Location: Sahaj Hospital, Indore Qualification: Graduation (any stream) Experience: Minimum 2 year Shift: Rotational Key Responsibilities: Handling Ayushman Bharat and Mediclaim-related processes and documentation. Coordinating with patients, TPA representatives, and hospital departments for smooth claim processing. Managing front desk operations...

  • Tpa Coordinator

    2 days ago

    Shahpura, Bhopal, Madhya Pradesh, India Bansal News Full time

    **Hiring For Bansal Hospital Bhopal** **Location_ Bhopal (On-site)** **Profile _TPA Manager** Looking for third-party administrator (TPA) who **provides administrative services for self-funded health plans, sometimes referred to as self-insured health plans, in the health insurance industry**. **Responsibilities** Coordinating all activities related to...

  • Mediclaim Executive

    2 weeks ago

    Indore, Madhya Pradesh, India APPLE HOSPITAL, INDORE Full time

    We are looking for a dedicated and detail-oriented Mediclaim Executive to join our team. The Mediclaim Executive will be responsible for managing and processing medical insurance claims, ensuring timely and accurate claim settlements, and providing excellent customer service to policyholders. **Key Responsibilities**: - Process and review medical insurance...

  • Senior Executive

    3 hours ago

    Central, Indore, Madhya Pradesh, India Shalby Limited Full time

    `JOB DESCRIPTION BASIC INFORMATIONPosition Title & DesignationSenior ExecutiveJD CodeSHB/XXX/DEPT/NNNJob FamilyBusiness SupportDepartmentMediclaimROLE DETAILSTo be filled up as per the requirement of the Division / unit / function / territoryGradeA2Reporting ToMediclaim ManagerDivisionUnitUnit IndoreLOCATION DETAILSPlease mention  the correct office...

  • Billing-Executive

    1 day ago

    Madhya Pradesh, India, Central, Indore Shalby Limited Full time

    JOB DESCRIPTION BASIC INFORMATIONPosition Title & DesignationFront Desk Executive - MediclaimJD CodeSHB/XXX/DEPT/NNNJob FamilyBusiness SupportDepartmentMediclaimROLE DETAILSTo be filled up as per the requirement of the Division / unit / function / territoryGradeB1Reporting ToMediclaim ManagerDivisionUnitUnit LOCATION DETAILSPlease mention  the correct...

  • Executive-Billing

    2 days ago

    Central, Madhya Pradesh, Indore, India Shalby Limited Full time

    JOB DESCRIPTION BASIC INFORMATIONPosition Title & DesignationFront Desk Executive - MediclaimJD CodeSHB/XXX/DEPT/NNNJob FamilyBusiness SupportDepartmentMediclaimROLE DETAILSTo be filled up as per the requirement of the Division / unit / function / territoryGradeB1Reporting ToMediclaim ManagerDivisionUnitUnit LOCATION DETAILSPlease mention  the correct...

  • TPA Executive

    5 days ago

    Shivpur, Varanasi, Uttar Pradesh, India Octavia Hospital Full time

    Job Title: TPA ExecutiveDepartment: BillingReporting To: Billing ManagerJob Responsibilities:Coordinate with TPAs and insurance companies for cashless hospitalization cases.Collect, verify, and submit all required documents for pre-authorization and final claims.Ensure timely approval of pre-auth and follow up for pending cases.Prepare and submit final...

  • Executive

    5 hours ago

    Indore District, Madhya Pradesh, India Safeway Insurance TPA Pvt. Ltd Full time

    At least 1 year TPA Experience required **Job Types**: Full-time, Permanent Pay: ₹10,000.00 - ₹20,000.00 per month **Benefits**: - Health insurance Schedule: - Morning shift Supplemental pay types: - Performance bonus **Experience**: - total work: 1 year (preferred) Work Location: In person