Tpa Executive

Department Icon Insurance- General Insurance
Posted: 1 year ago
1-6 years
Bengaluru
Insurance- General Insurance
work from office
Full Time

Posted: 1 year ago
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Job Description

Role & Responsibilities

  • Handling TPA related all process from billing to co-ordinate with TPA companies.
  • Responsible for counseling patient's family & pre-Auth process.
  • Maintaining & uploading patient's files on the portal.
  • Couriering the hard copy of patient's medical file to the Insurance companies.
  • Responsible for all co-ordination activities from patient's admission to discharge.
  • Handling billing Department, Implants bill updating & reconciliation.
  • Daily co-ordination with the patient and Hospital staff.
  • Outstanding follow-up with TPA.
  • To obtain and review referrals and authorizations for treatments.
  • Must be aware of norms of the insurance sector.
  • Daily follow up with Insurance companies to pass or clear the Health Insurance claims.

Qualifications

  • Bachelor's degree.
  • Previous experience in TPA management or Banking.
  • Good interpersonal and communication skills.

Simran Sandhu

7696661783


Skills

TPAHealth ClaimsTPA ExecutiveMediclaimClaimsClaim SettlementTpa BillingClaims AdjudicationManagement

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