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TPA @ Fortis

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 TPA

Job Description

Roles and Responsibilities

  • Improvement in overall TAT of preauthorization/ query/ discharge
  • Minimal denials for admission, not justified/ prior information of suspected denials/ Timely information to all the stake holders for denials
  • Audit of all TPA bills before uploading for cashless approvals
  • Required corrections in summary , bill, OT sheets, etc.
  • Regular maintenance of outstanding data/ follow up with TPA for enhancements/ counselling/patient for SI
  • MIS: Maintain and generate process related data as and when required by the HOD
  • Update patients and doctors about status of authorization
  • Uphold basic standards of cleanliness of work place area as well as self-grooming, and demonstrate use of standard phrases and telephone etiquette during all points of customer interface .

Job Classification

Industry: Medical Services / Hospital (Diagnostics)
Functional Area / Department: Healthcare & Life Sciences
Role Category: Health Informatics
Role: TPA Executive
Employement Type: Full time

Contact Details:

Company: Fortis
Location(s): Noida, Gurugram

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Keyskills:   TPA

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Fortis

About companyFortis Hospital, Manesar, Gurugram, is the second Multispecialty Hospital of Fortis Healthcare in Gurugram. Our hospital boasts a capacity of 350 beds, including 100 ICU beds, 15 Emergency Beds, 2 Cath Labs and 9 operating theatres (OTs).Our hospital is designed to meet the highest stan...