Job Description

Claim Processing

: Coordinate with insurance companies and hospitals for cashless approvals, verify documents, and manage reimbursements.

Patient Coordination

: Guide patients on eligibility, coverage, and claim procedures, and handle queries.

Documentation & Compliance

: Ensure all forms (pre-authorization, consent) are filled, submitted, and follow regulatory guidelines.

Pre-authorization

: Get approvals for treatments, procedures, and implants from TPAs.

Billing & Finance

: Manage split bills, update implant costs, and reconcile billing issues.

Follow-up

: Actively follow up with TPAs for claim status and approvals, resolving rejections.

Reporting

: Prepare monthly review reports and maintain accurate records.

Team Management

: Supervise and train TPA staff to meet service standards (for Incharge/Manager roles).
Job Type: Full-time

Pay: ₹25,000.00 - ₹35,000.00 per month

Work Location: In person