TPA Executive With Counselling Experience
Insurance- General Insurance
93+ Applicants
Posted: 4 days ago
1-5 years
Delhi, Delhi
work from office
Posted: 4 days ago
|
Applicants: 93+
Job Description
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Job Description
POSITION GUIDELINES
Document- / Responsibilities
DEPARTMENT : T.P.A.
POSITION : EXECUTIVE/ COORDINATOR
REPORTING TO : MANAGER
QUALIFICATION : GRADUATION / POST GRADUATION IN COMMERCE
EXPERIENCE : 1 - 5 YEARS
DUTY HOURS : AS PER SCHEDULED REQUIREMENTS
Key areas of responsibility:
- Responsible for handling TPA Empanelment.
- Ensure that entire billing part and documentation part is as per requirement.
- TPA/Cashless /ECHS /CGHS /ESIC billing & documentation.
- Liaison with Govt. Health Departments.
- Liaison with Insurance Companies
- Tie ups with Corporate Houses.
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- To timely solve the queries raised by the T.P.A.s in connection to the documents forwarded to them for seeking cashless transaction, in respect of the patient concerned under Medical Insurance Scheme.
- To give priority to emergency cases and to co-ordinate with the consultants / respective department for the same.
- To maintain appropriate departmental documentation.
- To treat all communication about patients, staff, and other organizational business confidentially.
- To be involved in quality Assurance / Quality control activities.
- To perform all the jobs as may be assigned due to exigencies of work.
- Participation in Continuous Quality Improvement.
- Ensure invoice is done without any delay.
- Also, need to ensure that the Invoice is submitted to the respective payers on time.
- Payment follow up religiously and ensure that the DSO is maintained as per the credit terms signed during empanelment
Skills
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Important dates & deadlines?
Application Deadline
04 Aug 26, 01:42 PM IST
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