1024 Tpa Jobs - Page 7

Masina Hospital is looking for Sr Exceutive TPA to join our dynamic team and embark on a rewarding career journey. As a TPA Executive, you will be responsible for managing and overseeing various aspects of third-party administration services for clients Your primary goal will be to ensure the smooth and efficient processing of claims and other administrative functions while maintaining high levels of customer satisfaction You will collaborate with internal teams and external stakeholders to deliver exceptional service and meet client expectations Responsibilities: Claims Management: Handle and process insurance claims efficiently and accurately, adhering to the company's guidelines and relev...

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- ...

Saira s Client, Hospital Industry, 500 beded hospital We need an experienced and seasoned individual with the Insurance and TPA industry background and knowledge. They need to be able to handle and grow our Insurance liaison side of the operations as we start to empanel with more and more private insurance providers. Any Graduation All your information will be kept confidential according to EEO guidelines.

The Hospital Marketing Manager is responsible for developing and implementing marketing strategies to enhance the hospital's visibility, drive patient acquisition and build brand awareness. Marketing experience should be in CGHS, ECHS, ESI.

Role Overview As the Claims Executive at Care.fi, you will be our key person responsible for conducting quality checks of documents at the hospital level for cashless cases under government/private schemes. This role involves reviewing pre-authorization and post-authorization documents attached during post-claim submission and providing scheme-specific inputs. Key Responsibilities Perform quality checks of documents for cashless cases under government/private schemes. Verify pre-auth and post-auth documents before claim submission. Ensure accuracy and completeness of documentation as per scheme guidelines. Coordinate with hospital teams to resolve discrepancies quickly and efficiently. Skill...

Role Overview As the Claims Executive at Care.fi, you will be our key person responsible for conducting quality checks of documents at the hospital level for cashless cases under government/private schemes. This role involves reviewing pre-authorization and post-authorization documents attached during post-claim submission and providing scheme-specific inputs. Key Responsibilities Should know government portals ECHS,CGHS Perform quality checks of documents for cashless cases under government/private schemes. Verify pre-auth and post-auth documents before claim submission. Ensure accuracy and completeness of documentation as per scheme guidelines. Coordinate with hospital teams to resolve dis...

Fortis Hospital Mohali is hiring OPD/ IPD staff , interested candidates can come directly for the interview from Monday to Friday between 9 am to 1 pm

Vidal Health Insurance TPA is hiring for Executive for Back office(Male Candidate only) Key Responsibilities: Inward entry, Scanning, File Dispatch, Documents collection from insured/underwriting office. Data Entry Qualification & Experience required: Experience: Minimum Graduation with 0-1 years of experience in Customer Service with good com skills. Industry- Health Insurance or TPA company only will be preferred if exp Candidate can join immediately Interested candidate can call on 9971006988

Job Title : CRM Manager TPA Industry Industry : Health Insurance / Third Party Administration Role Objective To lead and optimize the organizations CRM strategy, ensuring seamless client interactions, data integrity, and service delivery across health insurance workflows. The CRM Manager acts as a bridge between technology, client servicing, and operational teams to enhance customer satisfaction and retention. Key Responsibilities 1.Strategic Corporate Relationship Management 2.Drive retention and satisfaction of top corporate clients across the region Ensure consistent engagement and value delivery to key accounts Leadership Reporting & Issue Resolution. 3.Prepare and review reports on top ...

Key Responsibilities: 1. TPA & Insurance Coordination 2. Claims Management 3. Cashless & Reimbursement Process 4. Documentation & Compliance 5. Team Management 6. Financial Reconciliation

Key Responsibilities: 1. Client Relationship Management: a) Build and maintain strong relationships with HRs. b) Act as the primary point of contact for addressing client/employee inquiries and concerns promptly. c) Conduct regular meetings with clients to assess satisfaction and identify opportunities for improvement. d) Claim support and handholding of employees e) Utilize CRM software for managing client information and interactions. f) Work closely with the underwriting, claims, and customer service teams to ensure a seamless client experience. 2. Ideal candidate should have: a) Prior customer servicing experience b) Good communication skills c) Proactive approach to resolve queries d) F...

Key Responsibilities: 1. Client Relationship Management: a) Build and maintain strong relationships with HRs. b) Act as the primary point of contact for addressing client/employee inquiries and concerns promptly. c) Conduct regular meetings with clients to assess satisfaction and identify opportunities for improvement. d) Claim support and handholding of employees e) Utilize CRM software for managing client information and interactions. f) Work closely with the underwriting, claims, and customer service teams to ensure a seamless client experience. 2. Ideal candidate should have: a) Prior customer servicing experience b) Good communication skills c) Proactive approach to resolve queries d) F...

Key Responsibilities: Collect and compile patient bills, discharge summaries, and reports. Prepare and maintain claim files in the Ayushman Bharat format. Assist in claim reconciliation and resubmission processes. Support the Claim Executive in daily operations and documentation. Qualification & Experience: Minimum 12th pass (Graduate preferred Commerce / IT background). Skilled in MS Excel, Word, PDF editing, email, and scanning tools. 1 year experience in hospital billing or data entry preferred; freshers with good learning attitude may apply. General Requirements: Honest, disciplined, and capable of handling confidential data. Good coordination and communication skills. Candidates from ne...

Our hospital is empanelled under the Ayushman Bharat (PM-JAY) scheme. We are looking for competent and sincere professionals to strengthen our Ayushman Bharat Claim Processing Unit. 1 Position: Ayushman Claim Executive Salary: 25,000 35,000 per month Key Responsibilities: Manage patient registration and claim submission on the Ayushman Bharat TMS portal. Verify patient eligibility, Ayushman card, and Aadhaar-based authentication. Upload required documents such as discharge summary, reports, and photographs. Track and update claim status; maintain physical and digital records. Coordinate with district Ayushman officers, insurance partners, and internal departments for timely approvals. Qualif...

Job Description: You should have 4 to 6 years of experience in the insurance sector (TPA/Broking/Insurance Company), with a preference for experience in the H&B space. Your track record should demonstrate your ability to effectively manage a portfolio of key clients, creating value for them that leads to account retentions. Experience in selling to CHROs & HR teams or CFOs/Finance teams would be advantageous for this role. Key Responsibilities: - Manage a portfolio of key clients in the insurance sector - Create value for clients to ensure account retentions - Utilize your experience to sell to CHROs & HR teams or CFOs/Finance teams Qualifications Required: - 4 to 6 years of experience in th...

As a Client Servicing Team Lead/Executive, your role will involve managing and retaining top corporate clients in the region. You will be responsible for ensuring the fulfillment of SLAs of top stakeholders, overseeing timely submission of MIS reports, and maintaining relationships with HO of Insurance Companies and Brokers. Your duties will also include service fees collection, overseeing department functions like Customer Care, Claims, and Contact Centre, and ensuring ISO requirements for customer care and grievance are met. Additionally, you will be responsible for the P&L for the region, business development, and team management which includes regular interaction, training, handling esca...

Job Description : Has both Out patient and inpatient billing and Pharmacy billing responsibilities : 1. Prepare treatment estimates as prescribed by the doctor, for patients 2. Print invoices and collect cash as per prescription by the Physician (medicine/ therapies) 3. Prepare medicine when appropriate using correct dosages and material for patients 4. Prepare daily revenue reports to be shared with the leadership team 5. End to end patient billing at Centre 6. Help the patients fill out necessary forms and applications for their treatment 7. Gather billing or insurance information from the patient 8. Provide patients and other departments of the hospital with necessary billing information ...

The Billing Manager responsible for overseeing the hospital’s billing operations, ensuring accurate and timely submission of claims, payment posting, and revenue collection. The Manager leads the billing team, coordinates with clinical departments.

We have vacancy for the post of TPA manager. Qualification - BAMS/BHMS Experience - 2 to 10 yrs. as TPA Manager Job description - Act as the primary liaison between the hospital and various TPAs, insurance companies, and corporate clients. Handle empanelment and renewal of contracts with TPAs and insurance companies. Ensure smooth coordination for pre-authorization, approval, and discharge processes. Resolve disputes or issues related to pending approvals, denials, or short payments. Supervise TPA executives/coordinators in the billing or insurance desk. Train staff on TPA procedures, documentation standards, and claim follow-up. Conduct regular performance reviews and ensure efficient team ...

Job Descriptions: 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 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 nonavailability of tariff. Approve or deny the cla...

JD Account Management- Senior Executive Job Responsibilities: Respond to employee/corporate customer queries via e-mail/ phone in a timely and professional manner Coordinate with respective stake holders for cashless claim settlement and resolution Explain claim decisions, deductions and provide status updates clearly to customers and agents. Escalate unresolved issues following the defined escalation matrix to get quicker resolutions & communicate the same to the customers. Receive and verify the completeness of claim documents; advise on any pending or missing documents. Coordinate with the inward team for claim registration and ensure proper documentation flow. Allocate claims to the proc...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-3 years WORK FROM OFFICE ONLY. Job description : 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 PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing ...

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We are looking for Duty Medical Officer who has experince in Insurance Sector. Experience : Minimum of 1 year in Insurance Qualification : MBBS Interested kindly contact 7358189600

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...