TPA Billing Executive
0 - 5 Years of Experience
Not disclosed 
Full TimeManipal Hospitals, New Delhi
New Delhi, Delhi, India
Posted on 18-11-2024
115 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.
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