9 Tpa Coordinator Jobs

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0.0 - 4.0 years

0 Lacs

rajkot, gujarat

On-site

As a Billing Executive (TPA Coordinator), your role involves managing the daily operations of the department and assisting the Billing HOD in assessing the accuracy of various reports and implementing policies and protocols. Your responsibilities include bill preparation, auditing patient bill records, attending queries from internal and external service departments, preparing daily MIS and outstanding reports, addressing customer queries related to bill generation, ensuring minimum patient outstanding through follow-ups, managing cashless processes, and communicating with relevant companies. You will be required to work full-time in a day shift. Qualification: - Any graduate can apply for t...

Posted 13 hours ago

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2.0 - 4.0 years

4 - 6 Lacs

ghaziabad

Work from Office

Manage TPA operations including attending calls, interacting with walk-in customers, and resolving queries. Perform Birth/Death entries in the Nagar Nigam portal. Coordinate between hospital and TPA companies for claim processing, cashless benefits, and statutory compliances. Verify pre-authorization request forms, prepare case summaries with treating doctors, and cross-check discharge summaries to avoid discrepancies. Complete documentation and submit to TPAs for processing. Assist administrator with clerical tasks as required.

Posted 2 weeks ago

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0.0 - 4.0 years

0 Lacs

rajkot, gujarat

On-site

You will be responsible for managing daily operations of the department, assisting Billing HOD in assessing accuracy of reports, and implementing policies and protocols. Your tasks will also include bill preparation, auditing patient bill records, attending queries from internal and external service departments, preparing daily MIS and outstanding reports, and addressing customer queries related to bill generation. Additionally, you will ensure minimal outstanding balances for patients through follow-ups and feedback. You will also manage cashless processes and communicate with relevant companies. The interview will be conducted in a walk-in format at Olympus Hospital, Vidyanagar main road, ...

Posted 1 month ago

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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 proacti...

Posted 1 month ago

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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 2 months ago

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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...

Posted 2 months ago

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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...

Posted 3 months ago

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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 issu...

Posted 3 months ago

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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...

Posted 3 months ago

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