TPA Executive Cygnus Super Speciality Hospital Kurukshetra

2.0 - 13.0 years

0 Lacs

kurukshetra, haryana

On-site

As a TPA Executive at Cygnus Superspeciality Hospital, Kurukshetra, your role involves efficiently managing insurance and TPA-related activities. You will: - Coordinate with TPAs and insurance companies for pre-authorizations, approvals, and claim settlements. - Verify insurance documents and patient eligibility for cashless treatments. - Prepare, submit, and track insurance claims as per guidelines. - Maintain accurate documentation of approvals, rejections, and pending claims. - Assist patients with insurance-related queries and ensure a smooth discharge process. - Collaborate with billing, accounts, and admissions teams to ensure accurate claim processing. - Adhere to hospital and TPA com...

Posted 1 month ago

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TPA Coordinator Ace Heart & Vascular Institute

2.0 - 6.0 years

0 Lacs

punjab

On-site

The ideal candidate should have experience in TPA billing and counseling. This includes submitting insurance claims accurately and on time, verifying the completeness of claim documents, and maintaining relationships with TPAs and insurance companies. As part of the role, you will be required to negotiate service agreements, monitor performance, and address any issues related to claim settlements or delays. It will also be important to confirm patient insurance coverage, obtain pre-authorizations for treatments and procedures, and coordinate with medical staff and insurers for approval. A key aspect of the position will involve tracking reimbursement trends, optimizing revenue, reducing clai...

Posted 2 months ago

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