TPA Coordinator

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TPA Coordinator

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

Mahatma Gandhi Mission New Bombay Hospital (MGM), Navi Mumbai

time outline iconNavi 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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