17 Tpa Executive Jobs

Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors.

Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives

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 to pass or clear the Health Insurance claims. Qualifications Bachelor's degree. Previous experience in TPA management or Banking. Good interpersonal and communication skills. Simran Sandhu 7696661783

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 to pass or clear the Health Insurance claims. Qualifications Bachelor's degree. Previous experience in TPA management or Banking. Good interpersonal and communication skills. Astha Saklani 7087994355 Sr. Talent Acquisition

Job Description: We are seeking a proactive and efficient TPA Executive + Admin to manage and coordinate various activities at the hospital with cashless facilities. The ideal candidate will have experience in hospital administration, customer service, and insurance/TPA management. The role requires managing day-to-day operations, ensuring smooth functioning, and providing excellent service to patients and their families. Key Responsibilities: Hospital Management: Oversee the operations of hospital with cashless facilities. Ensure smooth interaction between patients, hospital staff, and the TPA network. Team Leadership: Supervise and manage a team as the Front Desk In-Charge. Ensure the team is properly trained and efficient in their roles. Customer Interaction: Attend to patients and their relatives, providing assistance and guidance as required. Address patient queries and concerns promptly and effectively. Inbound Call Management: Handle inbound calls and forward them to the appropriate department or person as needed. Courier Dispatch Management: Oversee and manage the inward and outward dispatch of couriers in a timely manner. MIS Reporting: Maintain detailed MIS reports of patient registrations, admissions, and follow-ups. Ensure the accuracy and timeliness of all records. Quality Maintenance: Monitor the quality of services provided by the hospital team and ensure they align with organizational standards. Event Coordination: Coordinate with the staff for organizing meetings, conferences, and events, including arranging refreshments and meals. Arrange seminars and camps, collaborating with doctors, lab technicians, and other relevant personnel. Billing & Cashless Services: Handle both IPD (Inpatient Department) and OPD (Outpatient Department) billing processes. Manage cashless billing and settlements with the relevant authorities and insurance providers. TPA & Mediclaim Management: Handle all TPA and mediclaim work, from pre-authorization to settlement. Coordinate with insurance companies and ensure smooth processing of claims. HR & Admin Responsibilities: Coordinate HR and admin-related tasks, including job postings, screening of candidates, and salary calculation. Strong organizational and Leadership skills, Communication, TPA & Mediclaim Management.

Roles and Responsibilities Department: Cashless & TPA Designation: Executive-Cashless & TPA JOB RESPONSIBILITY 1. Need to reach Hospital on Time and cross check the cleanliness of Cashless & TPA room, need to check proper working condition of internet, PC, Printers, Telephone Lines. 2. Should have an updated list of all TPA & Govt PSU on panel with updated MOU & Rate list as per agreed tariff, Email ID with Contact Number of costumer care and TPA Coordinator. 3. Should have proper knowledge of all the documents required for cashless approval, Preauthorization form, claim form and process like RSBY, BSBY, ECSH, CGHS. 4. Should handle entire billing part and documentation. 5. Should fill the accurate form , necessary document required and package opted & should send file to concerned TPA for approval , once the approval received should intimate reception staff to call and inform patient same and surgery appointment to be given accordingly. 6. Once the surgery is done should fill the claim form along with discharge summary & bill and should have scan copy of all & should courier the claim form after verification and should keep record of POD number. 7. Should maintain an excel tracker with all necessary detail and POD number & payment status against each case. Should know the payment cycle of each TPA, ECSH Govt PSU, RSBY , BSBY and take follow-up once the cycle date exceeds. 8. Will be responsible to avail approval within 24 hours of request and dispatch the claim file within 48 hours of billing , also if there is any query raised to be consulted to appropriate doctor and replied properly , all relevant query should be replied within 12 hours of query raised. 9. Monthly report should be made patient wise tracker with POD & Payment status & pending payment to be informed to central team. 10. All data should be scanned & saved soft copy & hard copy and should be provided when ever asked from central team. 11. Should report daily number of cashless surgery done at center on forum. 12. For any query should consult with IT, A/Cs & Cashless department in coordination with operations Manager. 13. Full responsibility from processing for approval till final payment received is liable on cashless department. 14. Weekly should check Govt website for any new or update on notification. 15. Need to cross verify all the bills and get it cross verified from the Operations Manager and get it signed before submission. 16. Before leaving from Hospital need to submit the day report and next day schedule to Operation Manager. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives Interested candidates may share their cv on WhatsApp 8875022129 Contact Person Aarchi HR Dept

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives

We are hiring TPA Manager for very reputed hospital in Delhi location. Need min 10 years experience & well versed with the following:- TPA Empanelment (visit in TPA and Insurance companies) Co-ordination with OPD/IPD Department (Admission & Discharge of cashless patient) Processing all the co-ordination activities from cashless patient's admission to discharge. Counselling the patient's family to explaining the pre-auth process. Maintaining & uploading patient's files on the portal. Handling all TPA Portals. Maintaining separate file for every patient with highlight co-payment and authorization letter. Telephonic follow up to the insurance company for conveniently claim settled. Maintaining daily MIS outstanding sheet of TPA patients. Prepare month wise MIS sheet for cashless settlement claim. Follow-up with TPA for outstanding payment. Handling all processes related to billing and TPA IPD Billing for (Cash and Cashless patients) Interested candidate can contact us on 8851627720 or Email at srservices2510@gmail.com

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives Interested candidates may share their cv on WhatsApp 8875029935 with be mention Details Total Experience Current City Current Company Home Town Current Salary Expected Salary Notice Period

LJ Eye Institute is looking for TPA Executive to join our dynamic team and embark on a rewarding career journey. A TPA (Third Party Administrator) Executive's job description can vary based on the specific company or industry they work in. However, here's a generalized job description for a TPA Executive : Job Title : TPA ExecutiveJob Summary : As a TPA Executive, you will be responsible for managing and overseeing various aspects of third - party administration services for clients. Your primary goal will be to ensure the smooth and efficient processing of claims and other administrative functions while maintaining high levels of customer satisfaction. You will collaborate with internal teams and external stakeholders to deliver exceptional service and meet client expectations. Responsibilities : Claims Management : Handle and process insurance claims efficiently and accurately, adhering to the company's guidelines and relevant regulations. Client Communication : Serve as the main point of contact for clients, addressing inquiries, resolving issues, and providing updates on claim statuses. Policy Administration : Review and validate insurance policy details to ensure correct coverage and policy benefits for claim processing. Documentation and Record Keeping : Maintain accurate records of all claim - related documents, transactions, and communications. Coordination with Healthcare Providers : Liaise with hospitals, doctors, and other healthcare providers to facilitate the smooth processing of medical claims. Network Management : Collaborate with the network management team to maintain a strong network of healthcare providers and negotiate contracts with them. Quality Assurance : Implement and maintain quality assurance processes to ensure accurate and timely claim processing. Reporting : Prepare and present reports on claim processing metrics, performance, and client satisfaction.

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives Interested candidates may share their cv on WhatsApp 8875029935 with be mention Details Total Experience Current City Current Company Home Town Current Salary Expected Salary Notice Period

Bhatia Hospital is looking for TPA Executive to join our dynamic team and embark on a rewarding career journey Assisting with the preparation of operating budgets, financial statements, and reports. Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Reviewing existing financial policies and procedures to ensure regulatory compliance. Providing assistance with payroll administration. Keeping records and documenting financial processes.

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives Interested candidates may share their cv on WhatsApp 8875029935 with be mention Details Total Experience Current City Current Company Home Town Current Salary Expected Salary Notice Period

Adhere billing process guidelines Review claims, Verify coverage Assist with inquiries Prepare claim forms & documents & timely claim processing Record Keeping & upload files on the portal Assist pre-authorizations Resolve billing issues/escalation Required Candidate profile Any graduation or BBA/BHA min. 1 year Billing Experience is preferred Please Email your resume at hr@jimsh.org

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives

Roles and Responsibilities Department: Cashless & TPA Designation: Executive-Cashless & TPA JOB RESPONSIBILITY 1. Need to reach Hospital on Time and cross check the cleanliness of Cashless & TPA room, need to check proper working condition of internet, PC, Printers, Telephone Lines. 2. Should have an updated list of all TPA & Govt PSU on panel with updated MOU & Rate list as per agreed tariff, Email ID with Contact Number of costumer care and TPA Coordinator. 3. Should have proper knowledge of all the documents required for cashless approval, Preauthorization form, claim form and process like RSBY, BSBY, ECSH, CGHS. 4. Should handle entire billing part and documentation. 5. Should fill the accurate form , necessary document required and package opted & should send file to concerned TPA for approval , once the approval received should intimate reception staff to call and inform patient same and surgery appointment to be given accordingly. 6. Once the surgery is done should fill the claim form along with discharge summary & bill and should have scan copy of all & should courier the claim form after verification and should keep record of POD number. 7. Should maintain an excel tracker with all necessary detail and POD number & payment status against each case. Should know the payment cycle of each TPA, ECSH Govt PSU, RSBY , BSBY and take follow-up once the cycle date exceeds. 8. Will be responsible to avail approval within 24 hours of request and dispatch the claim file within 48 hours of billing , also if there is any query raised to be consulted to appropriate doctor and replied properly , all relevant query should be replied within 12 hours of query raised. 9. Monthly report should be made patient wise tracker with POD & Payment status & pending payment to be informed to central team. 10. All data should be scanned & saved soft copy & hard copy and should be provided when ever asked from central team. 11. Should report daily number of cashless surgery done at center on forum. 12. For any query should consult with IT, A/Cs & Cashless department in coordination with operations Manager. 13. Full responsibility from processing for approval till final payment received is liable on cashless department. 14. Weekly should check Govt website for any new or update on notification. 15. Need to cross verify all the bills and get it cross verified from the Operations Manager and get it signed before submission. 16. Before leaving from Hospital need to submit the day report and next day schedule to Operation Manager. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives Interested candidates may share their cv on WhatsApp 8875022129 Contact Person Aarchi HR Dept