Responsibilities:
- 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 co-ordination activities from patient's admission to discharge.
- Handling billing Department, Implants bill updating & reconciliation.
- Daily co-ordination 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.
- To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
- Must be aware of norms of the insurance sector.
- Daily follow up with Insurance companies to pass or clear the Health Insurance claims.
Requirements:
- Bachelor's degree in any discipline or equivalent.
- Must have min. 03- 5 year's of experience.
- Experience into Health care is must.
Job Types: Full-time, Permanent
Pay: ₹15,000.00 - ₹20,000.00 per month
Schedule:
- Day shift
- Morning shift
- Night shift
- Rotational shift
Education:
- Bachelor's (Preferred)
Work Location: In person
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