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2.0 - 6.0 years
0 Lacs
kolhapur, maharashtra
On-site
As a TPA Coordinator in Kolhapur, you will be responsible for providing administrative support in the healthcare sector. With a minimum of 2 years of experience and a graduate degree, you will play a crucial role in coordinating third party administrator tasks. The salary offered will be based on your experience and qualifications. Located in Kolhapur, this position requires you to be a local candidate or open to relocating to the area. Your main duties will include overseeing TPA processes and ensuring smooth communication between different parties. Your attention to detail and organizational skills will be essential in managing various administrative tasks efficiently. If you are a proactive individual with a background in administration and a willingness to contribute to the healthcare industry, this role offers an exciting opportunity to make a meaningful impact. Join our team in Kolhapur and be part of a dynamic environment where your skills and expertise will be valued.,
Posted 4 days ago
2.0 - 7.0 years
2 - 4 Lacs
Kolhapur
Work from Office
Nandadeep Eye Hospital is looking for TPA Coordinator to join our dynamic team and embark on a rewarding career journey Collaborate with cross-functional teams to achieve strategic outcomes Apply subject expertise to support operations, planning, and decision-making Utilize tools, analytics, or platforms relevant to the job domain Ensure compliance with policies while improving efficiency and outcomes
Posted 1 month ago
1.0 - 6.0 years
1 - 3 Lacs
Kanpur, Agra, Delhi / NCR
Work from Office
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
Posted 1 month ago
1.0 - 6.0 years
1 - 3 Lacs
Kolkata
Work from Office
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
Posted 1 month ago
1.0 - 4.0 years
1 - 4 Lacs
Mumbai
Work from Office
The selected candidate willbe responsible for managing the approval and rejection processes for cashlessclaims under TPA and MJPJAY schemes. This will involve close coordination withhospital doctors, wards, the billing team, and insurance companies. Key Responsibilities: Handle approval and rejection of cases within the TPA department. Coordinate with hospital doctors and wards to ensure the availability of cashless facilities for patients. Manage pre-authorizations, patient admissions, and discharges, especially in the absence of the respective TPA/MJPJAY team member. Collaborate with the in-house ward, ICU, IPCU, and billing team to ensure final cashless approval for patients. Resolve issues related to cashless claims with TPA/MJPJAY authorities. Coordinate with TPA and insurance companies for approvals, rejections, or queries related to cashless cases. Prepare daily MIS reports for cashless cases. Be well-versed with TPA and MJPJAY portals for smooth processing. Settle cashless cases on the HMIS portal. Prepare refund sheets for cashless deposit refunds. Qualifications
Posted 1 month ago
1.0 - 6.0 years
1 - 3 Lacs
Prayagraj, Thane, Patna
Work from Office
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
Posted 1 month ago
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