
TPA- In Charge

TPA- In Charge
25
Applications
Not Accepting Applications
About the Job
Skills
Criteria: Candidates should be from hospital background and having minimum 10 years of experience.
Education: UG: Graduation or BAMS in Ayurveda, BHMS in Any Specialization.
Job Description:
> Handling TPA related all process from billing to co-ordinate with TPA companies.
> Responsible for counseling patient's family & pre-Auth process.
> Maintaining & uploading patient's files on the portal.
> Couriering the hard copy of patient's medical file to the Insurance companies.
> Responsible for all coordination activities from patient's admission to discharge.
> Handling billing Department, Implants bill updating & reconciliation.
> Daily coordination with the patient and Hospital staff.
> Preparing split bills/ Doctor charges etc.
> Handling all TPA Portals.
> Outstanding follow-up with TPA.
> Monthly Review report.
> To obtain and review referrals and authorizations for treatments.
> Must be aware of norms of the insurance sector.
> Daily follow up with Insurance companies to pass or clear the Health Insurance claims.
