Senior Associate-TPA Billing
0 - 5 Years of Experience
Not disclosed 
Full TimeManipal Hospitals, New Delhi
New Delhi, Delhi, India
Posted on 18-11-2024
59 Views
1 Vacancy
Description
- Process and manage insurance claims for medical treatments, ensuring all necessary documentation and billing details are accurate.
- Liaise between healthcare providers, insurance companies, and patients to ensure timely and correct billing for medical services.
- Review medical records, treatment plans, and insurance policies to verify the eligibility of claims before processing.
- Ensure compliance with insurance protocols, hospital policies, and industry regulations during the billing process.
- Resolve discrepancies and issues with insurance claims, coordinating with insurance companies for approvals, denials, and follow-ups.
- Maintain up-to-date records of all billing transactions, claims, and approvals for auditing and reporting purposes.
- Assist in preparing and submitting insurance bills and claims, ensuring accurate coding and proper documentation.
- Provide support to patients and healthcare providers by explaining insurance coverage, billing procedures, and payment options.
- Monitor outstanding claims and follow up to ensure timely payments, reporting delays or issues to senior management.
- Stay informed on changes in insurance policies, billing practices, and healthcare regulations to ensure compliance and accuracy.
Category
Administration / Management
Key Skills
CommunicationAttention to DetailPositive Attitudeproblam solving
Aggregated job.
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