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.
Preparing split bills/ Doctor charges etc.
Handling all TPA Portals.
Outstanding follow-up with TPA.
Monthly Review report.
To obtain and review referrals and authorizations for treatments.
To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
Must be aware of norms of the insurance sector.
Daily follow up with Insurance companies to pass or clear the Health Insurance claims.
Requirements:
Bachelor's degree in any discipline or equivalent.
Must have min. 06 - 12 months of experience.
Experience into Health care is must.
Job Type: Full-time
Pay: ?25,000.00 - ?30,000.00 per month
Experience:
total work: 1 year (Preferred)
Work Location: In person
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