2.0 - 6.0 years

0 Lacs

cuttack

On-site

The job involves monitoring and managing accounts receivable from Third-Party Administrators (TPAs), Insurance companies, and corporate clients. You will be responsible for following up on outstanding invoices to ensure timely collection and resolving any discrepancies or disputes with clients or internal departments. You will also need to liaise with insurance/TPA coordinators and the billing team to ensure proper documentation and approval processes. Additionally, preparing and submitting periodic reports on receivables, collection trends, and risk accounts to management is a vital aspect of this role. In case of unresolved or disputed claims, coordination with the legal team will be required. Furthermore, evaluating credit risk and recommending action plans to minimize bad debts is an essential part of the job. Supporting the month-end closing process by ensuring revenue and receivables are properly accounted for is also a key responsibility. Key Skills & Competencies: - Strong knowledge of credit control and collection procedures - Experience in dealing with TPAs/insurance claims - Excellent communication and negotiation skills - Proficiency in MS Excel and accounting software - Strong analytical and problem-solving ability - Attention to detail and ability to work under pressure - Knowledge of healthcare billing cycles is a plus Preferred Industry Background: - Hospitals / Healthcare Sector - Third-Party Administrators (TPA) - Insurance Companies This is a full-time, permanent position with benefits including cell phone reimbursement, health insurance, paid sick time, paid time off, and Provident Fund. The work location is in person.,

Posted 1 month ago

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TPA Executive Dr. Agarwal's Eye Hospital

1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

As a healthcare insurance coordinator, your responsibilities will include handling patient admission and discharge formalities related to insurance claims. You will be required to coordinate with Third Party Administrators (TPAs) and insurance companies for pre-authorization approvals and final settlements. It will be part of your role to verify and maintain insurance documents, ID cards, and policy details of patients while ensuring accuracy and compliance with regulatory norms. Your duties will also involve following up with TPAs for approvals, queries, and claim settlements, as well as ensuring the accurate and timely submission of medical records, bills, and discharge summaries to insurers. You will be expected to educate patients about the insurance process, coverage limits, and exclusions, providing them with necessary information and support. Maintaining TPA Management Information System (MIS) reports, tracking claim statuses, and resolving any discrepancies or rejections related to claims in coordination with doctors and insurers are essential aspects of this role. Additionally, you will assist the billing team in generating and auditing insurance-related invoices, contributing to the smooth functioning of the billing process. Building and maintaining strong relationships with TPA representatives for seamless coordination will be crucial for success in this position. You will be required to ensure compliance with Insurance Regulatory and Development Authority of India (IRDAI) norms and hospital protocols, upholding high standards of service delivery and efficiency. If you are a detail-oriented individual with a background in insurance verification and a keen interest in healthcare administration, we encourage you to apply for this full-time, permanent position based in Chennai, Tamil Nadu. A Bachelor's degree is preferred, along with at least 1 year of experience in insurance verification. Join our team and enjoy benefits such as health insurance, paid sick time, and Provident Fund contributions. You will work day shifts with the opportunity for a quarterly bonus, contributing to a rewarding and fulfilling work experience. Should you have any further queries or wish to apply for this role, please contact Karthik HR at 7338777993. We look forward to welcoming you to our team and working together to provide exceptional healthcare services to our patients.,

Posted 1 month ago

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Senior Executive/Assistant Manager - Revenue Cycle Management Integra Ventures Services

4.0 - 9.0 years

4 - 9 Lacs

Guwahati

Work from Office

Role & responsibilities Ensure compliance with policies, insurance guidelines, and regulatory requirements Ensure accuracy in billing and resolve any discrepancies Supervise and mentor patient admissions and discharge processes related to insurance claims Communicate with insurance companies for pre-authorization and claim approvals Prepare and submit claims to insurance companies Manage the Cashless/Credit schemes (Live claims) Corporate/Insurance Liaison Preferred candidate profile Qualification: Any Graduate Experience: Minimum 4 years of experience handling TPAs, CGHS, ECHS, and Ayushman Bharat in Hospitals

Posted 2 months ago

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