Tpa Executive
- Narayana Health (NH)
- 1 - 5 years
- Ahmedabad
- 6 months ago
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Job Description
Job Summary
To register new patients under TPA, attend queries, pre-authorization of request, claims, bill recovery.
Job Responsibilities
- Handling all debtor receivables,
- Solving all queries, which are related to bill.
- Checking all IP files before dispatch.
- Checking the reasons of cancellation of bill, free bill, discount bill, refund bill.
- Preauthorization request will be sent to the respective scheme office for the approval of the concerned treatment (surgical / medical)
- Making the changes of packages rates/tests rates as per the Company Agreement.
- Maintaining the Debtors aging report for OP & IP
- All the inpatient bills will be sent for the claims to the respective scheme office.
- Communication with the doctors for any techno-medical clarifications of any query by the TPAs, companies.
- Communicate with the TPA customer care for details of the bill.
- Communicate with the companies and TPAs for follow-up on the payments of bills.
- Bills recovery.
- Interaction with the patients for payments of the dues, which are not made by the TPA or company.
- Check the bottlenecks that arise in the payments and solve the problems regarding the bills
- Responsible for related to high-value payments to reduce the companys outstanding liabilities.
Job Classification
Industry: Medical Services / HospitalFunctional Area / Department: Healthcare & Life SciencesRole Category: Other Hospital StaffRole: Other Hospital Staff - OtherEmployement Type: Full timeContact Details:
Company: Narayana Health (NH)Location(s): Ahmedabad
Keyskills: TPA Health Claims Mediclaim Insurance Claims Claims Management Medical Insurance Health Insurance Claims Processing
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