6 Tpas Jobs

Department: Insurance Reports To: HOD Insurance Job Summary: The Insurance Coordinator is responsible for managing all aspects of patient insurance processes, including verification, preauthorization, documentation, claims submission, and follow-up. The role ensures smooth coordination between patients, insurance companies, and hospital departments to facilitate timely and accurate claim settlements. Key Responsibilities: Insurance Verification & Preauthorization: Verify patients insurance coverage, eligibility, and policy details before admission or treatment. Obtain preauthorization from insurance providers for procedures, surgeries, and inpatient admissions. Documentation & Coordination: ...

As the Hospital Billing Head, you will lead and oversee the billing operations of the hospital. Your responsibilities will include: - Overseeing end-to-end billing operations for inpatient, outpatient, and emergency services. - Supervising billing staff and allocating duties for optimal efficiency. - Ensuring accurate and timely generation and submission of patient bills. - Verifying documentation and coding of services before billing. - Monitoring and ensuring proper processing of insurance claims (TPA/CGHS/ESIC/Corporate). - Coordinating with clinical, administrative, and IT departments for a smooth billing workflow. - Developing and implementing SOPs for billing and revenue cycle manageme...

As a candidate for this position, your role will involve managing Medical Insurance claims efficiently. You are expected to have a Graduate degree or higher and possess comprehensive knowledge of handling medical claims within the Insurance industry. Your responsibilities will include familiarity with Insurance procedures related to patient medical claims, as well as a deep understanding of the operations of TPAs, GIPSA, and Medical Insurance Companies. Key Responsibilities: - Manage empanelments effectively - Ensure timely clearance of medical claims for patients - Establish and maintain relationships with TPAs to enhance the number of patients with medical insurance Additionally, you shoul...

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 requi...

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 insure...

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