Post: TPA Executive
Location: Kharghar
Qual: Any Graduate
Exp: Minimum 1 year exp in Hospital TPA
Shift: Day
Salary: 23K
TPA Coordination & Approvals
Handle cashless treatment approvals and coordinate with respective TPAs.
Submit required documents for pre-authorization and final authorization.
Track approval status and follow up with insurance/TPA provider as needed.
Billing & Documentation
Prepare and verify patient bills for TPA/insurance claims.
Ensure accurate documentation, including discharge summaries, invoices, reports, etc.
Upload/submit claims on TPA portals and maintain proper filing.
Patient Assistance
Guide patients and their families about TPA procedures and required documents.
Assist patients with cashless and reimbursement processes.
Address patient queries related to insurance coverage.
Coordination With Internal Teams
Work closely with billing, admission, discharge, and medical records departments.
Communicate with doctors for necessary medical justification or clarifications.
Claims Follow-up & Settlement
Track claim status and follow up for pending or rejected claims.
Resolve discrepancies or disputes with insurance companies/TPAs.
Maintain MIS reports for daily operations and claim status.
Job Type: Full-time
Pay: ₹18,000.00 - ₹23,000.00 per month
Benefits:
Food provided
Work Location: In person
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