Receptionist + TPA Executive

6 hours ago

Borivali Thane, India Pravaayu Healthcare Full time ₹ 6,00,000 - ₹ 12,00,000 per year

Key Responsibilities:

Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines.

Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies.

Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies.

Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards.

Qualifications

EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At least 1 year in TPA or healthcare insurance sectors, with experience in claims processing and billing.

Skills: Strong communication, interpersonal skills, attention to detail, and proficiency in relevant software applications.

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