<ul><li>Oversee and manage the TPA process for insurance claims, ensuring timely and accurate processing.</li><li>Coordinate with insurance companies, clients, and hospitals to resolve claim-related issues and ensure smooth reimbursement processes.</li><li>Ensure compliance with all regulatory and insurance requirements related to claims and billing.</li><li>Supervise the billing department, ensuring that all invoices are accurate and processed in a timely manner.</li><li>Review and verify patient billing details, including insurance coverage, medical codes, and charges.</li><li>Develop and implement strategies to improve billing accuracy, reduce claim rejections, and enhance cash flow.</li><li>Handle escalated billing issues and resolve discrepancies with insurance providers and patients.</li><li>Maintain up-to-date records of insurance policies, claims, and payments.</li><li>Prepare and review reports related to claims, payments, and outstanding balances for management.</li><li>Train and mentor billing staff, ensuring they follow proper procedures and maintain high standards of accuracy.</li></ul>

Assistant Manager-TPA & Billing