TPA
0 - 5 Years of ExperienceNot disclosed Full Time
Silver Streak Multi Speciality Hospital, Gurugram
Gurugram, Haryana, India
Posted on 18-11-2024
81 Views
1 Vacancy
Description
- Coordinate between healthcare providers, insurance companies, and policyholders to manage insurance claims efficiently.
- Verify the authenticity of insurance policies and coverage details to ensure claims eligibility.
- Assist patients with insurance-related inquiries, explaining coverage, claim procedures, and documentation requirements.
- Process and review medical claims, ensuring accuracy and compliance with policy terms and conditions.
- Liaise with healthcare providers to ensure the timely submission of claims, medical reports, and necessary documents.
- Provide support for pre-authorizations, ensuring approval from insurance companies for treatments and procedures.
- Resolve claim disputes and follow up with both insurers and policyholders to expedite processing.
- Maintain accurate records of claims, approvals, and communications for auditing and reporting purposes.
- Collaborate with healthcare providers to ensure the proper billing of services in accordance with insurance contracts.
- Stay updated with changes in insurance policies, healthcare regulations, and billing practices to ensure smooth claim processing.
Category
Administration / Management
Key Skills
Communication SkillsProblem solvingAttention to DetailPositive Attitude
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