Tpa Executive

Year    MH, IN, India

Job Description

Job description



Key Responsibilities:



Handle and process cashless claims efficiently and within timelines. Coordinate with TPAs, insurance companies, and internal departments for smooth processing of patient admissions and discharges. Manage pre-authorization, enhancement, and final approval processes for all cashless patients. Ensure accurate and timely documentation for CGHS, GIPSA, and private insurance claims. Track claim status, follow up on pending claims, and ensure timely reimbursements. Maintain up-to-date records and MIS reports. Coordinate with patients regarding insurance queries and documentation needs. Ensure compliance with standard protocols and hospital policies.

Requirements:



Minimum 2 years of experience in hospital TPA operations, specifically with CGHS, GIPSA, and anywhere cashless networks. Strong understanding of cashless claims and insurance processes. Proficiency in Microsoft Excel and hospital billing software. Good communication and interpersonal skills. Ability to work under pressure and handle multiple tasks.

Interested candidates can WhatsApp their resume to Neha Gala: 9324388689

Job Types: Full-time, Permanent

Pay: Up to ?30,000.00 per month

Education:

Bachelor's (Required)
Work Location: In person

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Job Detail

  • Job Id
    JD5154218
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    MH, IN, India
  • Education
    Not mentioned
  • Experience
    Year