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Octavia Hospital
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TPA Executive

TPA Executive

Octavia Hospital

3 - 5 years

1 - 2 Lacs

India

Posted:8 hours ago| Platform: GlassDoor logo

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Skills Required

billing updating regulations

Work Mode

On-site

Job Type

Full Time

Job Description

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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