TPA claim Processing Executive

Urgent Hiring Hiring Post:- TPA ExecutiveExperience:- Minimum 1 to above Years in same fieldSalary :- 18k to 25kExp:- Should be hospital backroud in same filed.Education;- Graduate from any stream.Key Responsibilities:Panel Management: Assist with onboarding and maintaining TPA and insurance provider panels, ensuring providers are properly credentialed and...

Responsibilities:Oversee the end-to-end TPA process, including patient pre-authorization, final approval, and billing coordination.Liaise with various insurance companies and TPAs to ensure smooth communication and claim settlement.

Your goal will be to provide support and hassle-free settlement of claims and building good relation with clients by providing excellent services.ResponsibilitiesHandling Cashless and reimbursement claims.Taking care of the endorsement of various corporate clients.Help employees and HR by giving them knowledge about the claim process.Coordinate with...

Role Overview:The Insurance Relationship Manager acts as the primary liaison between the hospital and health insurance stakeholders, including Third-Party Administrators (TPAs), insurance companies, and corporate clients. The role ensures seamless facilitation of pre-authorizations, cashless claims, patient counseling on insurance coverage, and timely claim...

Claims ExecutiveJob Description:Key Responsibilities:• Receive and review claim submissions from distributors, retailers, and sales staff.• Validate claims against schemes, offers, and company policies.• Ensure all supporting documents (invoices, credit notes, approvals) are accurate and complete.• Process approved claims in the system within defined...

Claims Executive Job Description: Key Responsibilities: • Receive and review claim submissions from distributors, retailers, and sales staff. • Validate claims against schemes, offers, and company policies. • Ensure all supporting documents (invoices, credit notes, approvals) are accurate and complete. • Process approved claims in the system within...

Attending emails & calls from clients & sales team regarding approvals & claims & coordinating with insurance companies & TPA's through emails & telephoneEscalate the unresolved/special consideration casesHandling RI ClaimsMaintaining KPI records Required Candidate profileSalary : Upto 6 LPA6 Days WorkingShift : 9:30AM to 6:30PMLocation : Uttam Nagar Must...

Will be responsible for reviewing, analyzing, & processing medical claims in line with policy terms, medical guidelines & regulator. The role ensures claims accuracy, fairness, & timely settlement while upholding professional medical standards. Required Candidate profileMBBS degree (mandatory). 2 to 5 years of exp in healthcare, TPA claims processing, or...

Department: TPA & PANELDesignation: SR. EXECUTIVE/ EXECUTIVEQualification: GRADUATEExperience: MINIMUM 5 YRS. RELEVANT EXP. WITH GOOD EXPOSURE OF HEALTH INSURANCE & TPA PROCESSES

Need a Billing Executive for a reputed hospital in Delhi, NCR.We are looking for a Billing Executive to manage patient billing for both OPD and IPD services, ensure accurate entries, coordinate with departments, and handle patient queries.Key Responsibilities & Requirements:Prepare and process IPD & OPD bills as per hospital tariffsCoordinate with nursing,...