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1.0 - 3.0 years
1 - 2 Lacs
Jaipur
Work from Office
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
Posted 3 days ago
10.0 - 20.0 years
0 - 0 Lacs
delhi
On-site
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
Posted 2 weeks ago
1.0 - 3.0 years
1 - 2 Lacs
Siliguri
Work from Office
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
Posted 3 weeks ago
1.0 - 3.0 years
3 - 5 Lacs
Patiala, Ambala
Work from Office
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.
Posted 3 weeks ago
1.0 - 3.0 years
1 - 2 Lacs
Kolkata
Work from Office
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
Posted 1 month ago
3.0 - 10.0 years
4 - 5 Lacs
Mumbai
Work from Office
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.
Posted 1 month ago
1.0 - 3.0 years
1 - 2 Lacs
Ahmedabad
Work from Office
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
Posted 2 months ago
1.0 - 6.0 years
0 - 1 Lacs
Kolkata
Work from Office
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
Posted 2 months ago
1 - 3 years
1 - 2 Lacs
Aurangabad
Work from Office
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
Posted 2 months ago
1 - 3 years
1 - 2 Lacs
Nashik
Work from Office
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
Posted 2 months ago
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