TPA Desk Executive

Role and Responsibilities:

• Facilitate Communication:-

○ Effectively communicate NucleonHealth's processes and terms to patients and hospital personnel.

• Claim Submission and Follow-Up:-

○ Manage insurance company portals to submit claim documents and ensure timely follow-up for claim settlement.

• Patient Counseling and Documentation:

○ Provide comprehensive counseling to patients regarding procedures and processes.

○ Collect all necessary documents from patients and hospital personnel.

• Document Management:-

○ Systematically upload all collected documents to the NucleonHealth portal for processing.

• Financial Transaction Handling:-

○ Collect cheques or payments due from patients intended for NucleonHealth collections.

○ Ensure responsible handling of all patient-related documentation and financial transactions.

• Process Optimization:-

○ Implement and maintain streamlined processes for efficient handling of patient documentation and financial transactions.

• Compliance and Quality Assurance:-

○ Adhere to regulatory requirements and internal quality standards in all aspects of claims management and patient interactions.