694 Tpa Jobs - Page 7

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

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...