705 Tpa Jobs - Page 27

Urgent requirement for BHMS,BAMS,BDS -Pune(Kothrud) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Need to Visit the Hospitals Should have own Bike Required Candidate profile: BHMS,BAMS,BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registrati...

Roles and Responsibilities Manage billing processes for OPD (Outpatient) claims, ensuring timely and accurate processing. Generate invoices for patients based on medical services rendered, adhering to TPA / Ayushman guidelines. Coordinate with healthcare providers to resolve any discrepancies or issues related to claim settlement. Ensure compliance with regulatory requirements and maintain accurate records of all transactions. Provide excellent customer service by responding promptly to patient queries regarding billing and claims.

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 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...

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...

Accuracy in In-patient Billing. Coordinate IPD & OPD Patients for surgery estimations. Processing & Co-ordinating for TPA and Credit approvals. Estimate to be given to the patient and concerned company within 24 hours from the time of admission with company tariff codes. Obtain further approvals from companies for the patients with surgical packages exceeding the stay limit. Verify whether all concerned documents are as per TPA, and then file them properly. Monitor approvals from insurance companies Follow up of Emergency admission patient. Day to day Outstanding amount follow up Explain the packages/surgeries/medical bills effectively to patient party. Giving proper explanation about the bi...

It is transforming commercial underwriting through intelligent document processing. Our AI-powered platform automates data extraction and enrichment across loss runs, ACORDs, and other underwriting documents, helping insurers reduce time-to-quote.

*Verify patient eligibility and ensure accurate documentation. *Process medical claims and coordinate with hospital billing. *Provide patient support and resolve queries related to the scheme. *Keep track of the number of patients enrolled in the scheme and monitor the status of their claims. *Report any issues or discrepancies regarding claims or registrations to the relevant authorities. *Collect all the documents of ECHS OPD Patients. *Prepare their Bills. *Upload all OPD documents on UTI. *Taking care of all ECHS OPD queries. *Taking all reception responsibilities in evening shift, on regular basis. *Co-ordinate with Visiting Consultants and Patients. *Fix the appointment with consultant...

Hiring for the position of Sr. Executive CRM (Corporate Relationship Management) Job Description 1. Responsible for developing the corporate customer base for MDIndia Health Insurance Services. 2. Map the territory and maintain a strong pipeline of potential customers. 3. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. 4. Develop strong relationship with Insurance Companies/Brokers. 5. Promptly attending Emails, Phone calls, Whats App messages of Clients. 6. Maintain proper MIS & Internal reports and present it to the management. 7. Ability to work independently, achieve targets and be absolutely result oriented. ...

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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....

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We emb...

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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....

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We emb...

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We e...

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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....

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We emb...

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We e...

Skill required: Retirement Solutions - Data Entry Services Designation: Customer Service Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.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. We...

Role & responsibilities Oversee and manage all IPD and OPD billing operations . Supervise the entire revenue cycle process , from patient registration to final payment. Ensure timely and accurate billing , invoicing, and payment collection. Monitor and manage Accounts Receivable (AR) and claim submission processes. Handle insurance pre-authorization , claim approvals, and denial management. Ensure compliance with healthcare regulations (HIPAA, NABH, Medicare/Medicaid, etc.). Train, guide, and evaluate the performance of the billing and front office staff . Conduct periodic internal audits and resolve billing discrepancies. Collaborate with the finance team on revenue reporting and financial ...

Role & responsibilities I. JOB DETAILS Job Title TPA Reporting Supervisor Head Front Office II. JOB PURPOSE To generate and maintain systems, to efficiently manage Front Office responsibilities and to achieve high standards of efficiency and customer satisfaction. III. KEY RESPONSIBILITIES Patient/ Customer Care 1. To resolve day to day patients / visitors complaints and manage the total Customer Experience Questionnaires dissemination process. 2. To be able to handle Patients, their Attendants and Families including VVIPs 3. To efficiently run departmental operations with maximum degree of Patient Centricity. 4. To be available at functional areas for Patient contact at all duty hours Proce...

Roles and Responsibilities Department: Cashless & TPA Designation: Executive-Cashless & TPA JOB RESPONSIBILITY 1. Need to reach Hospital on Time and cross check the cleanliness of Cashless & TPA room, need to check proper working condition of internet, PC, Printers, Telephone Lines. 2. Should have an updated list of all TPA & Govt PSU on panel with updated MOU & Rate list as per agreed tariff, Email ID with Contact Number of costumer care and TPA Coordinator. 3. Should have proper knowledge of all the documents required for cashless approval, Preauthorization form, claim form and process like RSBY, BSBY, ECSH, CGHS. 4. Should handle entire billing part and documentation. 5. Should fill the a...

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 Title: Hospital Receptionist (Day/Night Shift) Location : Nadiad, Gujarat Gender Preference: Male Key Responsibilities: Welcome and assist patients and visitors with a courteous and professional approach. Register patients, collect necessary documents, and issue OPD/IPD slips. Manage incoming and outgoing calls at the reception desk efficiently. Coordinate with doctors, nursing staff, billing, and other hospital departments. Handle TPA (Third Party Administrator) documentation for patient admissions and discharges. Ensure accurate and timely data entry in hospital management software. Maintain daily reports and ensure smooth shift handovers. Provide general information and guidance to pa...

Qualification: BDS/ BHMS + MHA Key Responsibilities: * Experience 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. *...