Tpa Executive

2 days ago

Faridabad, Haryana, India Sarvodaya Hospital Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Role & responsibilities

  • review and verify TPA deductions made from hospital bills.
  • Cross-check claims, pre-authorizations, and payment details from TPAs to identify discrepancies.
  • Reconcile payment and deduction reports with hospital billing and accounting records.
  • Coordinate with insurance companies, TPAs, and internal departments to resolve deduction-related issues.
  • Follow up on pending claims and deductions to expedite payments.
  • Prepare regular reports on TPA deductions and highlight areas of concern or delay.
  • Assist in audits and compliance checks related to TPA billing and deductions.
  • Maintain accurate documentation and records of all deduction transactions.
  • Provide support to the billing and finance teams regarding TPA-related queries.
  • Stay updated on insurance policies, TPA guidelines, and regulatory requirements.

Preferred candidate profile

  • experience in hospital billing, insurance claims, or TPA deduction management preferred.
  • Understanding of healthcare insurance processes and TPA operations.
  • Strong analytical and reconciliation skills.
  • Good communication and coordination abilities.
  • Proficiency in MS Office (Excel, Word) and hospital billing software.
  • Attention to detail and accuracy.

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