TPA Claim Executive-
3 days ago
Role & responsibilities
- Coordinate with patients, TPAs, and insurance companies for pre-authorization, approval, and final claim settlements.
- Prepare and submit claim documents and bills to TPAs/insurance companies in the prescribed format.
- Follow up regularly with TPAs for claim status, pending queries, and settlement updates.
- Verify patient insurance details, coverage, and eligibility before admission and discharge.
- Maintain accurate and up-to-date records of all claims submitted and settled.
- Handle rejections, discrepancies, and short settlements by coordinating with relevant departments and TPAs.
- Ensure compliance with hospital policies and TPA/insurance requirements.
- Generate periodic reports on claims pending, approved, rejected, and under process.
- Coordinate with the billing department to ensure correct patient billing as per TPA tariff and agreement.
- Support audits and maintain proper documentation for all claim-related activities.
Preferred candidate profile
- Good knowledge of TPA, insurance processes, and hospital billing systems.
- Strong communication and coordination skills.
- Attention to detail and accuracy in documentation.
- Proficiency in MS Excel and hospital billing software (HIS).
- Ability to manage multiple claims and meet deadlines.
-
TPA Manager
4 weeks ago
Jaipur, Rajasthan, India, Rajasthan NIMS University Full timeRole OverviewThe TPA Manager will be responsible for overseeing all operations related to private insurance, TPAs, and government health schemes including Bhamashah Swasthya Bima Yojana (BSBY) and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY). The role ensures smooth cashless and reimbursement processes, timely approvals, and compliance with all...
-
Tele Marketing Executive
2 weeks ago
Jaipur, Rajasthan, India KR Business Solutions Full time ₹ 96,720 - ₹ 1,82,836 per yearKR Business Solutions (KR) is a prominent management consulting service provider that offers "requirement-based" services to hospitals and healthcare organizations throughout India.Team KR is dedicated to providing complete healthcare solutions as a third-party administrator (TPA) with a specialized TPA department in a hospital. We offer empanelment...
-
Claims Executive
2 weeks ago
Jaipur, Rajasthan, India MedVerve Healthcare Pvt Ltd Full time ₹ 2,50,000 - ₹ 5,00,000 per yearPosition: Claims ExecutiveExperience: Only FresherQualification: Any GraduateJob Location: JaipurNote: Apply only if fine to work at hospital and location* Good communication skill.* Updating records and files in portal* Knowledge in computers like MS office.* Usage of company platform for patients data updation .* Database management.* Good interpersonal...
-
Front Desk Receptionist
2 weeks ago
Jaipur, Rajasthan, India KR Business Solutions Full time ₹ 1,35,668 - ₹ 1,59,261 per yearKR Business Solutions (KR) is a prominent management consulting service provider that offers "requirement-based" services to hospitals and healthcare organizations throughout India.Team KR is dedicated to providing complete healthcare solutions as a third-party administrator (TPA) with a specialized TPA department in a hospital. We offer empanelment...
-
Receptionist, telecaller
2 weeks ago
Jaipur, Rajasthan, India KR Business Solutions Full time ₹ 150 - ₹ 188 per yearKR Business Solutions (KR) is a prominent management consulting service provider that offers "requirement-based" services to hospitals and healthcare organizations throughout India.Team KR is dedicated to providing complete healthcare solutions as a third-party administrator (TPA) with a specialized TPA department in a hospital. We offer empanelment...
-
E-Commerce Executive
2 weeks ago
Jaipur, Rajasthan, India genus innovation Full time ₹ 2,50,000 - ₹ 3,50,000 per yearPosition Overview: We are seeking a skilled and detail-oriented E-commerce Executive with at least 2+ years of experience in handling marketplace accounts such as Amazon and Flipkart. The ideal candidate should have hands-on expertise in account management, Safe-T claims, FBA shipments and strong coordination skills with customers as well as platform account...
-
Executive – Quality Assurance
5 days ago
Jaipur, Rajasthan, India Manentia Research Private Limited Full time ₹ 1,04,000 - ₹ 1,30,878 per yearCompany DescriptionManentia Research Pvt. Ltd., based in Jaipur, Rajasthan, India, is a leading Contract Research Organization (CRO) specializing in scientifically evidence-based products in cosmetics, OTC items, cosmeceuticals, and personal care. We conduct clinical trials in Pharmaceuticals, Nutraceuticals, Dietary Supplements, Dermatology and more....
-
Senior Billing Executive-IPD/OPD
2 days ago
Jaipur, Rajasthan, India Rungta Hospital Full time ₹ 6,00,000 - ₹ 12,00,000 per yearRole & responsibilitiesInpatient (IPD) and Outpatient (OPD) billing: Prepare, process, and finalize bills for both services, including estimates and interim billing.Payment collection: Collect payments from patients and ensure financial transactions are processed accurately and in a timely manner.Coordination: Liaise with various hospital departments like...
-
Jaipur, Rajasthan, India ScrapUncle Full time ₹ 2,04,000 - ₹ 3,00,000 per yearKey Responsibilities:Handle after-sales service requests related to solar inverters (troubleshooting, warranty claims, AMC, spares, etc.).Coordinate with service engineers, OEMs, and customers for timely issue resolution.Maintain detailed records of service calls, warranty claims, and spare parts consumption.Provide technical support (remote & onsite) to...
-
Sales Executive
1 week ago
Jaipur, Rajasthan, India Blue Star Limited Full time ₹ 6,00,000 - ₹ 12,00,000 per yearJob Description1 Handling complaint management right from acknowledging the call received from call centre to closing the call in ServIT2 Daily review of pending complaints3 Escalating the complaints to SDH/AM wherever any support is required for resolving the complaint4 Rendering PMS as per schedule generated through system and achieving PMS adherence as...
