<ul><li>Supervise and manage all TPA-related operations for cashless and reimbursement claims.</li><li>Coordinate with insurance companies and patients for pre-authorization and approvals.</li><li>Verify patient documents, insurance coverage, and eligibility details.</li><li>Monitor claim submissions, settlements, and pending approvals.</li><li>Maintain strong liaison with TPA representatives for timely processing.</li><li>Ensure accuracy and compliance in billing and claim documentation.</li><li>Resolve discrepancies and follow up on rejected or delayed claims.</li><li>Prepare TPA performance and revenue reports for management review.</li></ul>

Assistant Manager-TPA