Credit / TPA MANAGER

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...

1. To ensure increasing revenue of the Hospital by increasing numbers of patients in the hospital and increasing third party paying customers of the hospital. 2. To handling all departments of IPD Billing, Credit Patient Dept. (TPA & corporate), dispatch & recovery. 3. To establish contacts with corporations, insurers, and other third party purchasers of...

Vidal is hiring for the position of Medical Officer (non-clinical role). **Location**:Noida - 126 Sector **Exp - 1-2 yrs of Claim Processing or TPA Experience** 9hrs shift (5days working) **Qualification: BHMS/BAMS/BDS/BUMS only** **Work from office & Immediate Joiner will be preferred** **Roles and Responsibilities**: - Processing of Claims with...

Claims Management: Coordinate with TPAs for pre-authorization, cashless treatment approvals, and claims processing. Verify documents and ensure accurate and timely submission of claims. Track claim statuses and follow up on pending or rejected claims. Patient Coordination: Guide patients on eligibility and processes for PMJAY and TPA-related services. Ensure...

**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...

**Claims Processing**:Handling all stages of insurance claims, from initial submission to final settlement, including verifying eligibility, processing claims, and ensuring accurate and timely payments. - **Coordination with Insurance Companies**:Liaising with various insurance companies to facilitate smooth claim processing and address any issues that may...

Senior officer Credit Cell TPA and othersThe Senior Officer Credit Cell will be responsible for managing credit-related activities and ensuring compliance with company policies and industry regulations. This role involves analyzing credit data, preparing reports, and collaborating with other departments to support credit operations

Job requirements Function Credit Card - Credit Role Credit Underwriters Designation M2 Grade CTC 4 Lakhs to 5 Lakhs max do not disclose the CTC Experienced - Minimum 2 years experience in Underwriting preferably Credit Cards Location Goregaon Thane candidates staying about an hour max from office location Job Role To screening and...

giving counselling to patients relatives regarding estimated expenses as well as corporate rules and formalities To be responsible for preparing and dispatching all IPD bills and keeping its records as per set protocols To be responsible for preparing reviewing and sending patient statements to various insurance companies and other panel organization ...

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