Tpa Executive

Sarvodaya Hospital

2 - 5 years

2 - 3 Lacs

faridabad

Posted:2 hours ago| Platform:

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Skills Required

tpa billing deductions tpa claim settlement hospital claims processing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

review and verify TPA deductions made from hospital bills.
Cross-check claims, pre-authorizations, and payment details from TPAs to identify discrepancies.
Reconcile payment and deduction reports with hospital billing and accounting records.
Coordinate with insurance companies, TPAs, and internal departments to resolve deduction-related issues.
Follow up on pending claims and deductions to expedite payments.
Prepare regular reports on TPA deductions and highlight areas of concern or delay.
Assist in audits and compliance checks related to TPA billing and deductions.
Maintain accurate documentation and records of all deduction transactions.
Provide support to the billing and finance teams regarding TPA-related queries.
Stay updated on insurance policies, TPA guidelines, and regulatory requirements.

Preferred candidate profile

experience in hospital billing, insurance claims, or TPA deduction management preferred.
Understanding of healthcare insurance processes and TPA operations.
Strong analytical and reconciliation skills.
Good communication and coordination abilities.
Proficiency in MS Office (Excel, Word) and hospital billing software.
Attention to detail and accuracy.

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