3 Tpa Processes Jobs

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2.0 - 6.0 years

0 Lacs

vellore, tamil nadu

On-site

Role Overview: As an Insurance Executive at Naruvi Hospitals, your primary responsibility will be to manage all aspects of hospital insurance operations. Your role will involve ensuring seamless coordination between patients, insurance providers, and internal departments to facilitate the insurance processes efficiently. Key Responsibilities: - Coordinate with patients, consultants, and insurance companies for pre-authorization, approvals, and claim processing. - Verify insurance coverage, policy limits, and eligibility of patients. - Prepare and submit pre-authorization requests and discharge intimations. - Follow up on pending approvals and claims to ensure timely settlements. - Maintain a...

Posted 20 hours ago

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10.0 - 20.0 years

0 Lacs

hyderabad, telangana

On-site

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...

Posted 1 month ago

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1.0 - 3.0 years

0 Lacs

borivali, maharashtra, india

On-site

Job Description: We are seeking a dedicated and detail-oriented TPA (Third Party Administrator) Coordinator to join our team. The TPA Coordinator will be responsible for managing all activities related to TPA operations, including coordination with insurance companies, claim settlement, documentation, and ensuring smooth cashless hospitalization processes for patients. Key Responsibilities: Coordinate with TPAs and insurance companies for cashless hospitalization approvals and claims settlement. Verify and process pre-authorization requests and insurance documents. Maintain accurate records of insurance approvals, rejections, and pending cases. Ensure compliance with all TPA guidelines and h...

Posted 2 months ago

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