8.0 - 10.0 years

0 - 0 Lacs

gurugram

Work from Office

Key Responsibilities: Manage and monitor all TPA & insurance-related activities in the hospital. Coordinate with insurance companies and TPAs for pre-authorization, claim submissions, and approvals. Review and verify patient documents for cashless and reimbursement claims. Ensure timely billing, claim processing, and settlement. Maintain accurate records of all TPA transactions and claim status. Train and guide the TPA team on claim procedures and documentation. Liaise with internal departments (billing, accounts, front office) for smooth cashless patient admission & discharge process. Handle claim rejections and resubmissions effectively. Prepare TPA-related MIS reports and present to manag...

Posted 1 month ago

AI Match Score

Apply

TPA Manager - Apollo Hospitals Apollo Hospitals

8.0 - 12.0 years

8 - 9 Lacs

Navi Mumbai

Work from Office

Roles and Responsibilities Manage end-to-end claims processing, including investigation, settlement, and reconciliation. Oversee insurance billing and TPA (Third Party Administrator) processes. Ensure compliance with regulatory requirements and industry standards for healthcare services. Develop and implement effective strategies to reduce claim denial rates and improve revenue cycle management. Collaborate with internal stakeholders to resolve complex claims issues.

Posted 7 months ago

AI Match Score

Apply

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.