1024 Tpa Jobs - Page 12

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

Role & responsibilities Plan and execute Insurance/TPA tie ups across Matcare/IVF centres Guide and monitor unit level teams in Insurance claims processing Query resolution from Insurance/TPAs in coordination with unit admin/clinical teams Ensuring timely receivables from Insurance/TPAs as per agreed SLA’s Ensuring insurance deductions/rejections are at a minimum Timely Insurance/TPA renewals

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Suyash Hospital Raipur is looking for Medical Administrator to join our dynamic team and embark on a rewarding career journey Staff Management: You supervise and lead a team of administrative staff, including medical secretaries, receptionists, medical records clerks, billing specialists, and administrative assistants. This involves hiring, training, scheduling, and performance management to ensure efficient operations and high-quality service delivery. Patient Services: You oversee patient services, ensuring that patients are greeted courteously, appointments are scheduled promptly, and inquiries are handled professionally. You may establish and enforce policies and procedures related to pa...

Role: Executive/Sr Executive - Account Management (CRM) Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Interested candidates can share their resume for sarika.pallap@gmail.com or whatsapp on...

Job Title: Billing Head Location: Shalby Hospitals Department: Billing & Recovery Key Responsibilities Oversee and manage all corporate recovery processes. Ensure timely follow-ups with government and corporate bodies for recovery. Receive and review outstanding payment reports; coordinate with concerned departments and stakeholders for closure. Maintain effective coordination with corporate representatives to ensure smooth billing and settlements. Ensure settlement of all advises in a timely manner. Address and resolve patient grievances related to billing promptly and effectively. Handle and resolve all queries related to NMI (Need More Information) cases. Maintain accurate data and report...

Role & responsibilities To Maintain corporate clients To maintain Insurance in TPA To do the employee engagement activities Need to take care of Health camps and training programs Preferred candidate profile Any Degree or Marketing experience with min 2 to 10 years. For Narketpally Loction Contact : recruitment@kaminenihospitals.com

Roles and Responsibilities Handling Major Corporates Group (Single/Multiple) - Handling queries of HR/Employee through mails & calls and resolve them - Solving Customer /HR/Brokers queries related to claims and other issues - Guiding customers to apply for claims and with policy T & C - Register claims in system - Grievance resolution by taking follow with operation team - Tracking up the claims file and updating to the corporate client till the claim get settled. - Following up for the cheque dispatch and details and NEFT details with backend - Maintaining day to day activities on the worksheet Desired candidate Profile: Preferably TPA /Hospital /Servicing

Role & responsibilities Job Description: (FAC) 1. Acts as an interface between the TPA, Insurance Company and the hospital. 2. Responsible for investigation of suspicious claims. 3. Effective usage of Fraud control measures. 4. Act as a backend support to the TPA. 5. Responsible for data mining and analytics related to Fraud and Investigation (IFD) 6. MIS reporting related to fraud control and all stakeholders. 7. Should should be completely fine with doing field work (for Investigations) .

Responsible for managing client relationships with key decision makers Subject matter expert for partners and internal staff for the assigned product Addresses the gaps identified between client requirement & the service provided Ensure that the service is delivered in accordance with the agreed service level agreement Act as a point of contact for any escalation or feedback from clients Collaborate with the other functional Group to evaluate the product performance and to recommend Refinements and improvements in service performance Establish and maintain on-going partner relationships and anticipate and resolve potential problems of the client Announcements of new updates and upcoming even...

Role & responsibilities Responsible for handling complete operational activities, client/corporate servicing, business retention & new business acquisition. Liasoning with Insurance Companies, Brokers, etc. Attending meetings of Corporates, Clients, Insurance Companies, etc. Build and maintain effective and influential relationships with the officials of Corporates, Clients, ICs, etc. Drafting forecasts and business plans. Thorough knowledge of the policy terms and conditions of various ICs. Maintain good CSAT level, client relationship mgt., etc. Open to travel to various cities/offices, as & when required.

Roles and Responsibilities Handling Major Corporates Group (Single/Multiple) - Handling queries of HR/Employee through mails & calls and resolve them - Solving Customer /HR/Brokers queries related to claims and other issues - Guiding customers to apply for claims and with policy T & C - Register claims in system - Grievance resolution by taking follow with operation team - Tracking up the claims file and updating to the corporate client till the claim get settled. - Following up for the cheque dispatch and details and NEFT details with backend - Maintaining day to day activities on the worksheet Desired candidate Profile: Preferably TPA /Hospital /Servicing