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 SciencesRole Category: Health InformaticsRole: TPA ExecutiveEmployement Type: Full time