TPA Executive

As a healthcare insurance coordinator, your responsibilities will include handling patient admission and discharge formalities related to insurance claims. You will be required to coordinate with Third Party Administrators (TPAs) and insurance companies for pre-authorization approvals and final settlements. It will be part of your role to verify and maintain insurance documents, ID cards, and policy details of patients while ensuring accuracy and compliance with regulatory norms. Your duties will also involve following up with TPAs for approvals, queries, and claim settlements, as well as ensuring the accurate and timely submission of medical records, bills, and discharge summaries to insurers. You will be expected to educate patients about the insurance process, coverage limits, and exclusions, providing them with necessary information and support. Maintaining TPA Management Information System (MIS) reports, tracking claim statuses, and resolving any discrepancies or rejections related to claims in coordination with doctors and insurers are essential aspects of this role. Additionally, you will assist the billing team in generating and auditing insurance-related invoices, contributing to the smooth functioning of the billing process. Building and maintaining strong relationships with TPA representatives for seamless coordination will be crucial for success in this position. You will be required to ensure compliance with Insurance Regulatory and Development Authority of India (IRDAI) norms and hospital protocols, upholding high standards of service delivery and efficiency. If you are a detail-oriented individual with a background in insurance verification and a keen interest in healthcare administration, we encourage you to apply for this full-time, permanent position based in Chennai, Tamil Nadu. A Bachelor's degree is preferred, along with at least 1 year of experience in insurance verification. Join our team and enjoy benefits such as health insurance, paid sick time, and Provident Fund contributions. You will work day shifts with the opportunity for a quarterly bonus, contributing to a rewarding and fulfilling work experience. Should you have any further queries or wish to apply for this role, please contact Karthik HR at 7338777993. We look forward to welcoming you to our team and working together to provide exceptional healthcare services to our patients.,