TPA Executive & Billing

Job Description

Key Responsibilities: TPA Executive: Coordinate and liaise with Third-Party Administrators (TPAs) to ensure seamless processing of insurance claims and patient reimbursements. Manage TPA documentation, including policy verification, pre-authorization requests, and claim submissions. Track and resolve TPA-related issues and discrepancies, working closely with insurance companies and the hospital’s financial team. Monitor and report on claims status and follow up on pending claims to ensure timely payment. Provide detailed information and support to patients regarding insurance coverage, claim status, and any required paperwork. Maintain accurate and updated records of TPA-related interactions and transactions. Billing Department: Prepare and submit accurate billing information for inpatient and outpatient services. Verify insurance details and ensure correct coding and billing for medical procedures and treatments. Review and resolve billing discrepancies, including claim rejections and denials, by working with both internal teams and external payers. Process and monitor insurance payments, patient co-pays, and outstanding balances. Communicate with patients to clarify billing inquiries, including providing itemized statements and answering questions about charges. Ensure compliance with hospital billing policies, regulatory standards, and insurance guidelines. Share your resumes at 82888-61929 . Job Types: Full-time, Permanent Work Location: In person