Senior Associate-TPA Billing

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Senior Associate-TPA Billing

work outline icon0 - 5 Years of Experiencerupess outline iconNot disclosed time outline iconFull Time

Manipal Hospitals, New Delhi

time outline iconNew Delhi, Delhi, India

Posted on 18-11-2024

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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

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