1038 Tpa Jobs - Page 40

Roles and Responsibilities Candidate has to do TPA Empanelment. Candidate will handle entire billing part and documentation. TPA/Cashless /ECHS /CGHS /ESIC billing & documentation. Liaison with Govt. Health Departments. Liaison with Insurance Companies. Tie ups with Corporate Houses. Must be aware of norms of insurance sector. Desired Candidate Profile Good communication. Must have good command over MS Office. Candidate must have experienced in Third party/ Empanelment Corporate tie-ups. Must have experienced of Hospital. Must have Experienced TPA/Cashless/ECHS/CGHS processors. Perks and Benefits Performance based Incentives

Immediate job openings for Doctor's with Star Health & Allied Insurance No. of open positions: 20 nos. Location: Royapettah, Chennai Job description Honour the clients and ready to provide the best consultation Handling customer queries and clarifying claims related Ensure safekeeping of the client records Responsible for handling problem of the clients in a highly professional manner Experience in Medi-claims processing Qualification: BDS / BAMS / BHMS / BSMS / MBBS / MDS / BPT / NMD Experience: Fresher / Experienced in handling TPA medical claims Languages to be known: Tamil / English / Hindi Contact details: HR Sangeetha Email Sangeetha.karthik@starinsurance.in Interested candidates walk-...

Investigate health insurance claims, verify medical records, detect fraud, conduct field visits, and prepare detailed reports. Coordinate with hospitals and ensure compliance with TPA policies and IRDAI guidelines. Medical background preferred.

Role & responsibilities To go through the bill and counselling on the approximate cost of the treatment in consensus with the treating consultant. To give the interim bill update day to day and explain the details of the bill and signature of the same need to be done. Ensure that the payment is done post counselling according to the bill amount and treatment procedures. Ensure transparency in billing. Keep a track on the TATs defined and adhered to the same Maintain good interpersonal relationships with Doctors , Patients , Corporate Representatives and other departments Preferred candidate profile Candidate should have Any degree qualification. Candidate should have min 1 year Hospital Indu...

l To Audit daily allotted cases as per Target l To compare the audit remarks received from the claims team l To maintain quality while doing the audit l To co ordinate with the provider network team and account managers or internal teams for additional Information about claims,tariff etc. l To complete the Audit finding to a Logical end l To share the responses to the insurer within the TAT. To assess the RCA for the errors and suggest the resolutions to avoid future audit

Job Summary To register new patients under TPA, attend queries, pre-authorization of request, claims, bill recovery. Job Responsibilities Handling all debtor receivables, Solving all queries, which are related to bill. Checking all IP files before dispatch. Checking the reasons of cancellation of bill, free bill, discount bill, refund bill. Preauthorization request will be sent to the respective scheme office for the approval of the concerned treatment (surgical / medical) Making the changes of packages rates/tests rates as per the Company Agreement. Maintaining the Debtors aging report for OP & IP All the inpatient bills will be sent for the claims to the respective scheme office. Communica...

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

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

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...