TPA Executive

As a TPA Executive at Cygnus Superspeciality Hospital, Kurukshetra, your role involves efficiently managing insurance and TPA-related activities. You will: - Coordinate with TPAs and insurance companies for pre-authorizations, approvals, and claim settlements. - Verify insurance documents and patient eligibility for cashless treatments. - Prepare, submit, and track insurance claims as per guidelines. - Maintain accurate documentation of approvals, rejections, and pending claims. - Assist patients with insurance-related queries and ensure a smooth discharge process. - Collaborate with billing, accounts, and admissions teams to ensure accurate claim processing. - Adhere to hospital and TPA compliance policies. Qualifications required for this role include: - Graduate in any stream (Commerce/Healthcare preferred). - 2 years of experience in hospital TPA/insurance desk preferred. - Good knowledge of insurance claim processes and documentation. - Strong communication and interpersonal skills. - Proficiency in MS Office and hospital billing systems. Cygnus Superspeciality Hospital, Kurukshetra, is a leading healthcare provider committed to delivering quality patient care. As a TPA Executive, you will have the opportunity to work in a reputed healthcare institution with growth opportunities. The job offers a competitive salary package and is a full-time position.,