1031 Tpa Jobs - Page 21

As the Billing Head (GM/AGM/DGM level) in the Revenue Cycle Management/Billing department, you will be responsible for overseeing and managing all billing operations within the hospital. Your role will involve ensuring accuracy, compliance, and efficiency in billing processes across OPD, IPD, diagnostics, insurance, and TPA. You will need to provide strategic leadership, optimize processes, and manage teams to ensure timely revenue realization and enhance patient satisfaction. Your key responsibilities will include overseeing day-to-day billing operations, ensuring timely generation and submission of accurate bills, implementing internal controls to prevent revenue leakage, ensuring complian...

What you will be doing: Answer customer queries in a positive and effective manner, both via e-mail and over the phone Identify and assess customers needs to achieve satisfaction Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution Manage end-to-end support for cashless claims processing , including coordination with hospitals, insurance teams, and customers Guide customers on claim submission requirements, approvals, and timelines Follow communication procedures, guidelines, and policies Take the extra mile to engage customers Serve customers by providing product and service information and resolving product and se...

What you will be doing: Answer customer queries in a positive and effective manner, both via e-mail and over the phone Identify and assess customers needs to achieve satisfaction Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution Manage end-to-end support for cashless claims processing , including coordination with hospitals, insurance teams, and customers Guide customers on claim submission requirements, approvals, and timelines Follow communication procedures, guidelines, and policies Take the extra mile to engage customers Serve customers by providing product and service information and resolving product and se...

Key Responsibilities: *Knowledge in TPA, Insurance Company, UTI TSL , Hospital Sector Understanding of the product and provide training and product demo to new and existing clients Team management/ handing team of Medical officers / quality analysts Handling operations of the accounts Meeting and understanding of the customer requirements, plan implementation Travel to the customer's site as and when required for training and implementing Ensure service levels are maintained at hospitals Establish objectives and operational criteria for accounts managed. Understand the requirements of Clients regularly and implement the process at hospitals. Motivating / retaining the team members. Develop a...

Education Mandatory: Any Graduate (BSC/BCOM/BA) Desirable: Nil Experience Minimum 6 Months eligibility/enrolment experience (preferred) Technical Competencies: (Job related) Exceptional data entry skills with high attention to detail, strong organization skills and ability to multi-task Should have working knowledge of MS-Office: (Teams, Outlook, Excel, Word, OneNote) Soft Skills: (Job related) Effective verbal and written communication skills and excellent interpersonal skills Ability to work effectively with team members, employees/members, providers, and clients and vendors Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form Flexi...

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...

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT WORK FROM OFFICE ONLY Thanks & Regards Ronojoy Bagchi ronojoy.bagchi@mediassist.in 8050017356

1. Looking after the corporate client & their empanelment’s 2. Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. 3. Handling all queries related to patients. Call me on +91 97739 85718

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer expe...

Role & responsibilities Billing, IPD, TPA Preferred candidate profile Must be Graduate with atleast 02+ Years of experience. Interested candidates can send their CV @ prakash.jha1@parashospitals.co or Whatsaspp at 77 66 94 8884.

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 billi...

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...

Medi Assist TPA Health insurance Gautham budhnagar sector 3 Noida G M Tower, 1st Floor, D-7, Sector-3, Noida - 201301, Uttar Job description for CRM -Noida Resolving customer queries within TAT and ensuring smooth claim process Providing information to the customers and to respond to their claim related queries Coordinating with the customers/agents for cashless claim settlement Coordinating with internal stakeholders like enrolment, Account management, claims, investigation, support team to settle claims .Visiting client location weekly twice or thrice. Thanks Hariprasad Mob :+ 91 9731826983 Email id :hariprasad.m@mediassist.in

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-...

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, B.Sc. Nursing, Msc Nursing, Work from Office only Interested candidates can share there profiles to disha.raman@mediassist.in or WhatsApp to 8904968911.

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. NOTE: Must have TPA or Insurance work experience for min 1-2 yrs

* Manager / Deputy Manager in Business Development with a focus on International Marketing * Senior Executive / Assistant Manager for International Operations. Achieve targeted revenues through referrals to Hospitals. . Nisha Singh 8448519870

JOB DESCRIPTION POSITION 8: TEAM LEADER ACCOUNT MANAGEMENT / RELATIONSHIP PERSONNEL PURPOSE OF ROLE: Ensure smooth claims processing for customers. Lead a team of helpdesk personnel including implants, semi-implants, account management and document pickup team. Management Level Industry Type Mid Management Insurance, Service Industry Visit customers place as per the schedule Monitor the team members activity in terms of volumes (documents collected) Review the queries received from the customer and the responses from the team members Help team members in resolving escalations from customers Review the reports sent by the team members and take necessary actions (issues with respect to claim r...

Role & responsibilities Maintain relationship with insurers. Manage their queries and resolve them satisfactorily. Meet important clients regularly. Check status of clients, work with internal team members to clear outstanding and pending claims Interact with internal & external stake holders to ensure customer queries are addressed in a timely manner Encourage clients to submit the required pending documents to reprocess the claims. Resolve customer queries and grievances with reasonable explanation. Handling inbound and outbound calls, managing escalations Preferred candidate profile 5-6 years in a customer facing/customer support role which involves finding solutions. Health Insurance/TPA...

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...

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. NOTE: Must have TPA or Insurance work experience for min 1-2 yrs

POSITION : - OFFICER DEPARTMENT : - BILLING REORTING TO : - HEAD - FINANCE & ACCOUNTS QUALIFICATION : - GRADUATE /B.COM PREFFERED EXPERIENCE : - MINIMUM 4 YEARS OF EXPERIENCE IN HOSPITAL BILLING JOB REPOSIBILITIES : - The person of this designation will be responsible for auditing/entering/modifying services in order to generate accurate patient bill as per the policies and protocols of the hospital in the TAT as described by the Billing Incharge /Manager/CFO. JOB DUITIES & RESPONSIBILITY : To ensure that bills are generated as per SOP. To ensure that outstanding follow-up is done regularly and any discrepancies in outstanding amounts, as described in policy, are immediately reported to the ...

We are looking for a proactive and experienced Marketing Executive with a background in the healthcare or hospital sector. Bachelor’s degree in Marketing, Healthcare Management, or related field. Strong understanding of healthcare marketing practices