TPA Executive

2 - 6 years

0 Lacs

Posted:18 hours ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview: As a TPA Executive at Capitol Hospital in Jalandhar, your primary responsibility will be to handle third-party insurance cases efficiently. You will play a crucial role in processing insurance claims, ensuring smooth coordination between patients and insurance companies, verifying documentation, and maintaining compliance with policies. Your day-to-day tasks will involve managing paperwork, liaising with various hospital departments, addressing patient queries, and maintaining accurate records to facilitate seamless transactions with insurance providers. Key Responsibilities: - Handle third-party insurance cases and process insurance claims - Coordinate between patients and insurance companies - Verify documentation and ensure compliance with policies - Manage paperwork and liaise with hospital departments - Resolve patient queries and maintain accurate records - Facilitate smooth transactions with insurance providers Qualifications Required: - Experience in handling third-party insurance, Ayushman claims, and coordination - Proficiency in documentation and record-keeping - Excellent communication and interpersonal skills - Strong problem-solving abilities and attention to detail - Ability to work independently and as part of a team - Knowledge of medical terminologies and hospital operations is a plus - Bachelor's degree in a relevant field (e.g., healthcare management, insurance) is preferred,

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