Receptionist + TPA Executive

Job Description

Key Responsibilities: Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines. Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies. Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies. Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards. Qualifications EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At least 1 year in TPA or healthcare insurance sectors, with experience in claims processing and billing. Skills: Strong communication, interpersonal skills, attention to detail, and proficiency in relevant software applications.