
TPA Coordinator
Mahatma Gandhi Mission New Bombay Hospital (MGM), Navi Mumbai
Navi Mumbai, Maharashtra, India
Posted on 20-01-2025
1 Vacancy
Description
- Act as a liaison between insurance companies, healthcare providers, and patients to ensure smooth processing of insurance claims.
- Assist patients in understanding their insurance coverage, including benefits, exclusions, and claim processes.
- Verify patient insurance details, ensuring eligibility and policy coverage for medical treatments.
- Coordinate the submission of insurance claims to third-party administrators, ensuring accuracy and timely processing.
- Follow up with insurance companies to track the status of claims, ensuring timely reimbursement.
- Address and resolve discrepancies or issues related to insurance claims, working with insurance providers and patients.
- Maintain and update accurate records of all insurance claims, patient interactions, and billing details.
- Provide support in the approval process for medical treatments, ensuring necessary documentation is submitted to insurance companies.
- Work with healthcare providers to ensure all medical procedures and treatments are covered under the patient’s insurance policy.
Category
Administration / Management
Key Skills
Good CommunicationAttention to DetailDecision MakingPositive Attitude
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