1031 Tpa Jobs - Page 20

Coordination with TPAs File Management Query Handling Claims processing and settlement

Role & responsibilities Patient Billing & Collections Ensure collection of advance/caution deposits for all admitting patients. Ensure estimation bills are prepared and clearly explained to patients. Monitor preparation of interim bills and updates to patients on a daily basis. Ensure billing is accurate and in line with the approved tariff for both OP and IP services. Ensure final bills are issued only after submission of the discharge summary. Ensure issuance of receipts for all patient advance collections. Monitor that 95% of patients remain cash positive during hospital stay. Ensure zero-error billing through checklist verification in each case sheet. Process Management & Compliance Ensu...

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...

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...

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...

Job Descriptions: Check the medical admissibility of claims by confirming the diagnosis and treatment details. Verify the required documents for processing claims and raise an information. Request a case of an insufficiency. Approve or Deny claims as per T&C witihin TAT. Required Qualification : BAMS, BHMS and MBBS(with indian registration Work from Office only Interested candidates can share there profiles to disha.raman@mediassist.in or WhatsApp to 8904968911.

KR Business Solutions (KR) is a prominent management consulting service provider that offers "requirement-based" services to hospitals and healthcare organizations throughout India. Our dedicated team at KR is committed to providing complete healthcare solutions as a third-party administrator (TPA) with a specialized TPA department in a hospital. We excel in empanelment consulting, quality accreditations (NABH/NABL/ISO), cashless/reimbursement claim settlement, and hospital planning and development. With 16 years of experience, we are steadfast in our mission to deliver comprehensive TPA (medical) solutions. We are currently seeking a tele caller to join our team. As a tele caller at KR Busi...

You are an experienced Insurance & Credit Billing Executive with a deep understanding of healthcare billing processes. You should have hands-on experience in managing CGHS, TPA, Transco, Genco, Singareni, BTC, and other corporate billing accounts. Your key responsibilities will include handling end-to-end billing processes for various credit billing clients, preparing and processing insurance claims accurately, coordinating with different departments for necessary documentation, maintaining accurate billing records, liaising with TPA representatives and corporate HR teams for query resolution, ensuring compliance with hospital billing policies, providing reports on credit billing status, col...

Want to be part of a UK hub, in a global business that is scaling rapidly, evolving fast and radically changing the decades-old delivery universeIf so, read on, as were looking for an Insurance Manager to join our Finance team! Our missionTo switch up the status quo and become the UKs leading out-of-home business With a fast-growing network of thousands of smart lockers, hundreds of leading retail partners and the launch of our transformative Send service, were bringing freedom to anyone with a parcel, At InPost UK, were building an unparalleled group of talent thats committed to help us power our mission to reshape the way parcels move, and redefine eCommerce logistics Our team is packed fu...

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...

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...

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...

Employee Life Cycle Management,Exit Formalities,SOP, Employee Handbook,Mediclaim,Personal Accident policy,additions,deletions,TPA, claims processing,Onboarding process,joining formalities,appraisal process,Induction proces,Policy .Recruitment

Greetings From Scorelabs Inc ! Validate medical necessity and check eligibility Ensure accurate claim coding for inpatient, outpatient, and day-care procedures. Should Have Exp In 1-4 years of in claims Required Candidate profile Handle claim resubmissions, rejections, and audits from insurance providers. Collaborate with physicians, billing teams, and insurance officers for clarification or denials. Hr Mounika - 8688334476

Greetings From Scorelabs Inc! Dealing with patients health care related documents Ensuring error free processing of pre authorisation within agreed TAT (Turnaround time) Entering accurate information into the application defined by the organization Required Candidate profile TPA Experience Claims Processor Qualification (BAMS Or BHMS Or MBBS) BDS ,BPT,MPT Also Ok but person Should have 1 Year Of Under Writing or Medicl Scribing Hr Gowthami - 7842272470

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package, etc. Understand the process difference between a PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the ...

Role & responsibilities : Manage the performance of the key accounts in the branches. Set goals and targets for the teams. Monitor and review the performance of the team periodically. Preparation of reports which will be shared with other teams. Understand the training needs of team members, develop them through training, coaching and mentoring sessions. Handle escalations and associated documentation if any. Preferred candidate profile : Education: Min Graduation completion. Experience: 7+ years of experience with broker or hospital or insurance background preferred. Managed large accounts in a TPA/insurance/hospital background with ability to handle 10-20 team members. Location: Bangalore-...

Toast is driven by building the restaurant platform that helps restaurants adapt, take control, and get back to what they do best: building the businesses they love. Bready * to make a change? The Tax Operations team works closely with our clients, agencies, and internal teams such as onboarding, customer care, and banking. Our primary focus is ensuring compliance with US payroll tax filing and deposits for our clients. The Tax Specialist will be responsible for contributing to the day-to-day success of the Tax Operations team. This individual will be responsible for the completion of tasks related to maintaining client tax profiles and ensuring a smooth client experience. In addition, the T...

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package, etc. Understand the process difference between a PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the ...

As a Health Insurance Advisor, you will be responsible for helping clients navigate the complexities of health insurance. You will educate clients about different health insurance policies, answer their questions, and assist them in selection. Required Candidate profile Prior experience in insurance sales or customer service. Knowledge of health insurance policies and regulations. Excellent communication and interpersonal skills. Strong problem-solving abilities. Perks and benefits Annual bonous Foreign Tour monthly Reward

Job Description ( CRM - Client Servicing) Communicating with clients via phone calls, emails, or in-person . Identifying and resolving client queries Maintaining a detailed and accurate record of all client details and communications Building and maintaining long-lasting business relationships with clients Ensuring to respond to client queries in a professional and timely manner Assisting in the hiring process and providing necessary guidance to the team members and new recruits Providing clients with relevant information on the products and services offered by the company Identifying and making promotional/marketing offers to potential clients Achieving the monthly/yearly revenue targets Pe...

COMPREHENSIVE JOB DESCRIPTION TEMPLATE A. POSITION BACKGROUND ORGANIZATION / Medi Assist Insurance TPA Private Limited DIVISION SUMMARY DEPARTMENT SUMMARY To serve the customers well by delivering a high standard, efficient customer service and to represent the organization in the possible best way. B. POSITION DETAILS DIVISION / Customer Relationship Management DEPARTMENT DESIGNATION GRADE (BAND) Executive / Senior Executive REPORTING TO LEVEL A3/A4 LOCATION Bangalore C. POSITION REQUIREMENTS Education Minimum: Graduate Other Requirements Qualification: Any graduate Experience Minimum: 0 5 Industry: Healthcare D. Job Description/Key Roles & Responsibility • • • • Receive and check claim doc...

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...

Health Claims, Mass Claims & Provider Management good market knowledge and experience Market knowledge and experience in region, tariff level negotiation and claim level negotiations and inflation management Medical knowledge

Role: Senior Executive - Account Management 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 candidate can share their resume to varsha.kumari@mediassist.in