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0.0 years
0 Lacs
gurugram, haryana, india
On-site
Contact Mr Nishant Chaudhary WhatsApp 91050 24073 Industry & Sector: Private healthcare Ophthalmology / Eye Care hospital operating in Gurgaon (Sector 49). We provide clinical and surgical eye-care services, outpatient and inpatient workflows, and manage insured patient volumes through hospital-TPA partnerships. Primary Job Title: TPA Coordinator (Medical Insurance & Cashless Claims) Role & Responsibilities Manage end-to-end TPA interactions for insured patients: verify policy details, initiate pre-authorizations, and follow up for cashless approvals. Process IP and OP claims accurately: prepare and submit supporting documents, code procedures/diagnoses per hospital guidelines, and track cla...
Posted 1 month ago
7.0 - 9.0 years
0 Lacs
hyderabad, telangana, india
On-site
Continental Hospitals, Gachibowli, Hyderabad Continental Hospital is a JCI and NABH accredited facility offering multi-specialty, tertiary, and quaternary care services with more than 56 specialties, the healthcare institution is spread across 18 floors (1.4 million sq. ft), located in the IT and Financial District of Hyderabad, Gachibowli. Continental Hospitals was founded by Dr Guru N Reddy in April 2013 to redefine healthcare in India by providing quality patient care with integrity, transparency, a collaborative approach, and evidence-based medicine Continental Hospitals, India's first LEED qualified super specialty hospital is built on international standards and is designed to enhance ...
Posted 1 month ago
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 1 month ago
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 3 months ago
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 3 months ago
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