51 Tpa Billing Jobs - Page 2

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. • Mmaint...

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...

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 m...

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...

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...

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...

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...

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 oper...

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...

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 fina...

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 dayc...

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.

Key Responsibilities Verify patient insurance details at admission. Prepare and submit pre-authorization (pre-auth) requests with required documents. Submit final claims within stipulated timelines.