TPA Billing Executive

institute logo

TPA Billing Executive

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

37 Views

1 Vacancy

Description

  • Process and submit medical insurance claims to Third Party Administrators (TPAs), ensuring accurate and timely billing.
  • Verify patient eligibility for insurance coverage and ensure all required documentation is complete before submission.
  • Ensure that claims are accurately coded with the correct diagnosis and procedure codes as per insurance guidelines.
  • Liaise with healthcare providers and insurance companies to resolve billing issues and discrepancies.
  • Follow up on pending claims with TPAs and insurance companies to ensure prompt settlement and resolve any delays.
  • Maintain detailed records of all claims, approvals, rejections, and payments for auditing and reporting purposes.
  • Communicate with patients to explain their insurance coverage, billing details, and payment options.
  • Assist in preparing and submitting invoices for services rendered, ensuring compliance with policy and regulatory requirements.
  • Monitor outstanding claims and payments, escalating unresolved issues to senior staff for timely resolution.
  • Stay updated on changes in insurance policies, claim processing procedures, and medical billing regulations to ensure accurate billing practices.

Category

Administration / Management

Key Skills

CommunicationAttention to DetailPositive Attitudeproblam solving

Aggregated job.

Learn more