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Dr BS Kushwah Institute of Medical Sciences logo
Third-Party Administrator Dr BS Kushwah Institute of Medical Sciences

10.0 - 15.0 years

0 Lacs

kanpur nagar

Work from Office

A TPA (Third Party Administrator) Executive's job description involves managing healthcare insurance claims by coordinating between patients, hospitals, and insurance companies, verifying coverage, and processing claims for cashless or reimbursement settlement . Key responsibilities include verifying patient eligibility, processing pre-authorizations, handling billing, and ensuring compliance with insurance regulations, as well as communicating with various stakeholders and resolving discrepancies. Key responsibilities Claim processing: Manage the end-to-end processing of healthcare insurance claims, including inpatient and outpatient services, as outlined in policy terms. Pre-authorization:...

Posted 1 week ago

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