5 - 10 years
7 - 12 Lacs
Posted:1 day ago|
Platform:
Work from Office
Full Time
Handle end-to-end TPA, Insurance, Ayushman, CGHS, and ECHS cases.
Coordinate with patients, TPA representatives, and consultants for pre-authorization approvals. Monitor real-time admission intimation, approval status, and treatment cost estimates. Ensure accurate preparation and timely submission of claims to TPAs/Insurance companies. Follow up on pending claims, resolve queries, and minimize claim rejections. Maintain updated records of approvals, discharges, and settlement status. Collaborate with billing, finance, and medical teams for seamless case management. Train and guide TPA executives in documentation and claim processing. Ensure compliance with NABH requirements, audit standards, and hospital policies. Generate MIS reports on approvals, rejections, pending claims, and revenue flow.
Miri Piri Institute Of Medical Sciences Research Charitable Trust (SPGC)
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