25 Tpa Billing Jobs

Responsibilities: * Manage backend operations with focus on health insurance claims processing, TPA billing, MIS reporting, data entry, and basic hospital administration. Provident fund Annual bonus

Role & responsibilities • To be responsible for maintaining TPA Processing of cashless and all post discharge health insurance claims. • To be responsible to maintain overall TAT entry to exit. • TPA query reply and preauthorisation follow up with insurance company / tpa. • Medical scrutiny and medical opinion for health insurance claims. • Efficient in claim adjudication and claim processing. • Maintaining and ensuring Standard Operating Procedures and protocols. • To be responsible for keeping record for all correspondence done for TPA. • Post discharge reconciliation for utilization of claims. • Timely reply to internal TPA complaint portal. • TPA discharge follow up and closure. • Mmaintenance of departmental records as per the NABH requirement. • Effective utilization of hospital information system, MIS generation of TPA patients. • To display proactive cooperation and contribute to cordial inter and intra team relations, solution orientation and team solidarity. Should be cost effective. • To participate in training programs to maintain and update your professional knowledge. • To achieve high levels of customer satisfaction at each interaction. • Any task assigned to you by your HOD from time to time. Preferred candidate profile Accuracy in invoicing / billing • Demonstrated ability to maintain confidentiality • Service Excellence • Active participation in all departmental training and development activities. • Active participation in Inventory Management. Min 2 Years of relevant experience in TPA Must be Graduate

Cashless Executive, TPA Executive, Insurance Executive Responsibilities: Patient Eligibility Verification: Claim Processing: Pre-authorization and Approvals: Coordination: Status Tracking and Follow-up: Cashless Admission Facilitation:

Role & responsibilities Graduate Medical background, MR (B pharma), BHMS, BAMS/ MBA in Hospital Adminstration 2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit Candidate must have excellent knowledge of health insurance / Health TPA domain. Candidate must have excellent bill/medical negotiation skills & customer handling skills. Good communication skills in Hindi/English and regional language of the state/region. Ready to relocate himself/herself at location within India as may be required according to the job requirement Candidate must own vehicle to travel in various hospital assigned to him Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals Candidate will be mapped with minimum 20 hospitals for physical visit based on the location and city. Additionally 20-25 Hospitals for Case Audit and Management Proficient in handling complex situations and customers. Candidate must possess clinical knowledge for evaluation of medical files Sound knowledge of surgical procedures and disease cure management Preferred candidate profile

Role & responsibilities 1) 1-3 years working experience in health insurance/health insurance TPA at Hospital handling/audit 2) Candidate must have excellent knowledge of health insurance / Health TPA domain. 3) Candidate must have excellent bill/medical negotiation skills & customer handling skills. 4) Good communication skills in Hindi/English and regional language of the state/region. 5) Ready to relocate himself/herself at location within India as may be required according to the job requirement . 6)Candidate must own vehicle to travel in various hospital assigned to him 7) MS Office and excel Preferred candidate profile Proficient in handling complex situations and customers. Candidate must possess clinical knowledge for evaluation of medical files Sound knowledge of surgical procedures and disease cure management Candidate will be mapped with minimum 20 hospitals for physical visit based on the location and city. Additionally 20-25 Hospitals for Case Audit and Management.

Job Description 1 Graduate Medical background, MR (B pharma), BHMS, BAMS/ MBA in Hospital Adminstration 2 2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit 3 Candidate must have excellent knowledge of health insurance / Health TPA domain. 4 Candidate must have excellent bill/medical negotiation skills & customer handling skills. 5 Good communication skills in Hindi/English and regional language of the state/region. 6 Ready to relocate himself/herself at location within India as may be required according to the job requirement 7 Candidate must own vehicle to travel in various hospital assigned to him 8 Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals 9 Candidate will be mapped with minimum 20 hospitals for physical visit based on the location and city. Additionally 20-25 Hospitals for Case Audit and Management 10 Proficient in handling complex situations and customers. 11 Candidate must possess clinical knowledge for evaluation of medical files 12 Sound knowledge of surgical procedures and disease cure management

Job Description 1 Graduate Medical background, MR (B pharma), BHMS, BAMS/ MBA in Hospital Adminstration 2 2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit 3 Candidate must have excellent knowledge of health insurance / Health TPA domain. 4 Candidate must have excellent bill/medical negotiation skills & customer handling skills. 5 Good communication skills in Hindi/English and regional language of the state/region. 6 Ready to relocate himself/herself at location within India as may be required according to the job requirement 7 Candidate must own vehicle to travel in various hospital assigned to him 8 Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals 9 Candidate will be mapped with minimum 20 hospitals for physical visit based on the location and city. Additionally 20-25 Hospitals for Case Audit and Management 10 Proficient in handling complex situations and customers. 11 Candidate must possess clinical knowledge for evaluation of medical files 12 Sound knowledge of surgical procedures and disease cure management

TPA - Claim Processing

MBA (Finance) or Inter CA with strong experience in hospital billing systems and audit processes.

Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.

Role & Responsibilities 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. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies to pass or clear the Health Insurance claims. Qualifications Bachelor's degree. Previous experience in TPA management or Banking. Good interpersonal and communication skills. Isha Thakur 9056448144 HRD

Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.

Role & Responsibilities 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. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies to pass or clear the Health Insurance claims. Qualifications Bachelor's degree. Previous experience in TPA management or Banking. Good interpersonal and communication skills. Isha Thakur 9056448144 HRD

Responsible for working with medical TPAs to execute medical testing operations for SLIC managing tele/video calling operations for the Underwriting function for underwriting / fraud detection,medical test feedback, grievance,agent verification etc. Required Candidate profile Prior exp in Medical TPA management for LI sector Must have basic knowledge of Underwriting guidelines&norms Must be able to supervise a small team Must have a strong process orientation

Fortis Hospital Mohali is hiring for following vacancies; 1. OPD 2. IPD 3. TPA 4. Counsellor interested candidates can come directly for the interview as per schedule or share resume at baljinder.singh@fortishealthcare.com

Role & responsibilities A hospital manager, also referred to as a hospital administrator, plays a crucial role in managing the hospital's day-to-day operations. They oversee daily work processes, devise departmental strategies, manage the infrastructure and employees and plan the finances and budget of the facility. They are responsible for the hospital's fiscal performance and the welfare of patients. They coordinate with employees of various departments to ensure that each patient receives the best care and treatment. These professionals also play a vital role in the top-level decision-making process of a hospital. They define the overall strategy of the healthcare facility to improve operational efficiency, streamline costs, increase revenues and dispense the best patient care. Hospital managers also ensure that the facility complies with national and state-wide health laws and policies. The day-to-day tasks of hospital administrators vary based on the size of the healthcare facility, setting and services. Here are some of the typical duties of a hospital manager: Manage the hiring, training and performance of hospital staff. Serve as a liaison between the staff, management and patients. Design and implement short, medium and long-term goals for the medical facility. Frame budgets and operational strategy for each department. Oversee the finances of the hospital, including setting the rates for various health services, budgeting and revenue monitoring. Streamline the operational procedures of the facility to provide patients with the best care. Develop new policies for the hospital to improve patient experience and satisfaction. Oversee the progress of research (if done) at the hospital. Ensure compliance with various government policies and legal regulations. Manage the insurance reimbursement for patients by ensuring tie-ups with insurance providers. Ensure the security and safety of patient healthcare records and other facility data. Communicate with doctors, specialists, nurses, ward attendants and vendors. Educate the general public on important health issues via campaigns and community events.

Primary responsibility of TPA Executive is Follow ups and Clearing of outstanding dues with TPA’s & other govt. agencies and split billing. Required Candidate profile Reporting of daily, weekly, monthly on dues outstanding follow ups to the reporting manager. Insurance patient billing, Packages and other billing process, Resolve queries.

Role & Responsibilities 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. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies to pass or clear the Health Insurance claims. Qualifications Bachelor's degree. Previous experience in TPA management or Banking. Good interpersonal and communication skills. Astha Saklani 7087994355 HRD

Accounts Payable & Receivable, TDS, GST, Bank and vendor Reconciliation & Billing of All Mediclaim, CGHS, CSMA, PMPML,PMC,PCMC,PVT Required Candidate profile Exp :2-5yrs (Hospital experience) Job location: Pune Apply on hr1.jh@mmfhospitals.in HR dept 02041096690/ 8657171616

Knowledge of health insurance & TPA procedures .Ability to work under pressure & meet deadlines Exp 2-5 (Hospital experience) Job location : Pune Interested candidate apply on hr1.jh@mmfhospitals.in HR dept 02041096690/ 8657171616

Role & responsibilities Inpatient/Outpatient Billing Overseas/Corporate/Insured/TPA billing Payment Tracking and collecting inpatient deposits. Charge Posting at regular basis OT and Endoscopy Charge posting as per the attached sheet and verify the same on day to day basis. Cross checking the files before the final Bill to be approved by Authorized Person for all bills. TPA files follow-up and closure by generating outstanding amount in coordination with TPA/Insurance officer. Tracking of discounts/Cancelled bills/refunds/free bills/posting of packages Service Recovery in the billing Area. Training of the HIMS modules in billing with the proper guide line. To check pharmacy bills during final billing. To inform ward nurse and Manager Operations regarding completion of billing formality of discharging patients. To store the IPD file safely in MRD. Preferred candidate profile

Our client is a leading oncology and hematology healthcare provider in India, established in 2018. With a network of specialized cancer clinics across major cities, including Mumbai, Pune, Nashik, Aurangabad, Kolhapur, Nagpur, Gujarat, and Indore, the institution is recognized for delivering advanced and compassionate cancer care. Backed by $28 million in funding and a workforce of 575 professionals, it offers services such as chemotherapy, immunotherapy, targeted therapy, genetic counseling, psycho-oncology, and medical tourism. Job Title : Center Administrator Job Location Pune Benefits Offered Medical Insurance, Ex-gratia, Additional allowances Role Summary The admin ensures that the daycare center is optimally staffed & efficiently operated. Ensure that facilities are maintained, manage and support a complement of daycare staff. He/She enables high standards for patient experience at all times. He/She intervenes in any issues that arise between staff & patients to amicably resolve the issues. Major Duties and Responsibilities A) Patient Experience Monitor housekeeping & overall center hygiene including patient waiting areas, patient treatment rooms, washrooms etc. to ensure best standards Ensure adequate employee rostering as per patient load Ensure patient waiting times are maintained as per given standards Ensure patient feedback forms are fully filled by the patients/relatives Ensure google reviews are taken for the centre as per the given target Manage phone calls from patients, vendors, colleagues and correspondence through e-mail, letters, packages etc. Ensure operation of equipment by completing maintenance requirements; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques according to NABH Standards (if applicable). B) Employee Management Enable a positive work culture at the center Listen & appropriately respond to employee queries related to benefits, leaves, OT etc. Job Description Handhold new employees to ensure their comfort with the work culture & the job Conduct employee engagement events at the center Work in conjunction with central HR team to create a training calendar for individual employee Maintain a training MIS for the center Help the central HR team to execute the annual performance appraisal at the center C) Management Information System Share the desired information about the center to the relevant stakeholders at corporate office Ensure accuracy of shared data D) Financial Impact Ensure that all patients referred by the medical oncologist for financial counselling are properly explained about the financial charges for relevant procedures Keep proper track of patients who take financial counselling as to get them to take treatment Ensure 100% accuracy of collected cash Help the TPA desk to ensure collection of insurance money in the given TAT Support budgeting and bookkeeping procedures Submit and reconcile expense reports (petty cash, invoices) E) Miscellaneous Maintain supplies inventory by checking stock to determine inventory level; anticipating needed supplies, placing and expediting orders for supplies; verifying receipt of supplies. Cover the reception desk when required. Qualifications and Skills At least a Bachelors degree (Any specialization) At least five years in hospital/daycare operations Solid communicator Location : Shivaji Nagar, Pune Working Days : Monday to Saturday

Hiring TPA Incharge/Officer for a hospital in Gurgaon. Min 4 yrs exp in TPA desk. Must handle claims, pre-auths, billing, discharges & patient queries. Strong communication & TPA workflow knowledge required. Send cv on-82808 33507

Role & responsibilities Handle insurance and TPA desk operations . Manage impatient and ourpatient billing processes accurately and in a timely manner.

Role & responsibilities Handle insurance and TPA desk operations . Manage impatient and ourpatient billing processes accurately and in a timely manner.