TPA Manager
24 hours ago
Key Responsibilities:
- Manage and monitor all TPA & insurance-related activities in the hospital.
- Coordinate with insurance companies and TPAs for pre-authorization, claim submissions, and approvals.
- Review and verify patient documents for cashless and reimbursement claims.
- Ensure timely billing, claim processing, and settlement.
- Maintain accurate records of all TPA transactions and claim status.
- Train and guide the TPA team on claim procedures and documentation.
- Liaise with internal departments (billing, accounts, front office) for smooth cashless patient admission & discharge process.
- Handle claim rejections and resubmissions effectively.
- Prepare TPA-related MIS reports and present to management regularly.
HR Contact No
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