TPA Manager

2 years Experience of TPA Cutomer interaction pre auth processing Approval on portal Timely processing discharges Bill disptach wthin TAT 2 years Experience of TPA Cutomer interaction pre auth processing Approval on portal Timely processing discharges Bill disptach wthin TAT 2 years Experience of TPA Cutomer interaction pre auth processing Approval on portal...

1.Ayushman/ECHS/CGHS/CAPF etc. claim submission process 2.PSU Billing & TPA pre - authorization process 3.Medical billing, MIS and documentation 4.TPA reimbursement cases 5.Manage record of TPA cases & collection 6.Coordination with corporate, brokers & Insurance companies. 7.Track The TPA Patients Through HIS System And Maintain TPA Patient Tracker As Per...

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...

**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...

**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...

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 for treatments as required. 3. Coordination with Insurance...

TPA Executive ( 1 to 6 years of experience) graduate **Job description** **Job Purpose**: Responsible for managing and reconciling payments related to executive compensation within the organization. This role requires meticulous attention to detail, strong analytical skills, and the ability to collaborate effectively with various departments to ensure...

*Designation-Team Lead-Client Servicing Job Location: Noida Industry-TPA or Health Insurance will be only preferred **Job Description**: **Key Responsibilities**: **1**. Management and Retention of Top corporate which is assigned. 2. Coordination with top corporate/insurance companies/brokers to be reviewed with Leadership Team and proactively act on...

Key Responsibilities Define the product roadmap for the Insurance Claim Inspection & Field Investigation platform. Convert fragmented insurance SOPs into a templatized, digital, rules-driven workflow engine. Identify automation opportunities to reduce manual decision-making in claim inspections. Build dynamic checklists, inspection templates, rule engines,...

Department: Finance & Accounts Location: Silver Streak Multi-Speciality Hospital Reporting To: Chief Executive Officer (CEO) / Board of Directors Job Type: Full-time Experience Required: 10 – 15 years (with minimum 5–7 years in a hospital/healthcare setup preferred) Qualification: CA / MBA (Finance) / M.Com or equivalent professional qualification Job...