Job Details

TPA Executive

Sai Sukhda Hospital, Gulzar Nagar, Bareilly

Bareilly, Uttar Pradesh, India

0-1 years

Full Time

21 hours ago21 hours ago

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Job Description

Operational Management: Oversee the daily operations of the hospital's TPA and corporate insurance helpdesk to ensure hassle-free assistance for cashless patients.
Pre-Authorization and Cashless Approvals: Coordinate the timely submission of pre-authorization requests, medical documents, and discharge summaries to various TPAs and insurance companies.
Query and Dispute Resolution: Track and resolve queries raised by TPA medical referees rapidly to minimize claim deductions or rejections.
Panel Empanelment: Assist hospital management in initiating and maintaining corporate health panels, insurance tie-ups, and government healthcare schemes.
Settlement Tracking: Monitor outstanding cashless amounts, follow up on pending payments, and coordinate with the hospital billing team for reconciliation.
Patient Coordination: Counsel patients regarding their policy coverage, exclusions, co-payments, and corporate approval statuses.

Preferred Education

MHA (Master of Healthcare Administration)
M.B.A. (Master of Business Administration)

Key Skills

Job Details

TPA Executive

Sai Sukhda Hospital, Gulzar Nagar, Bareilly

Bareilly, Uttar Pradesh, India

0-1 years

Full Time

21 hours ago21 hours ago

Upload Resume to Apply Faster

Quick apply to this and other jobs with one click

Job Description

Operational Management: Oversee the daily operations of the hospital's TPA and corporate insurance helpdesk to ensure hassle-free assistance for cashless patients.
Pre-Authorization and Cashless Approvals: Coordinate the timely submission of pre-authorization requests, medical documents, and discharge summaries to various TPAs and insurance companies.
Query and Dispute Resolution: Track and resolve queries raised by TPA medical referees rapidly to minimize claim deductions or rejections.
Panel Empanelment: Assist hospital management in initiating and maintaining corporate health panels, insurance tie-ups, and government healthcare schemes.
Settlement Tracking: Monitor outstanding cashless amounts, follow up on pending payments, and coordinate with the hospital billing team for reconciliation.
Patient Coordination: Counsel patients regarding their policy coverage, exclusions, co-payments, and corporate approval statuses.

Preferred Education

MHA (Master of Healthcare Administration)
M.B.A. (Master of Business Administration)

Key Skills

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25K - 35K P.M

Communication Skills

Coordination Skills

Documentation

Team Work

Job role:

TPA Executive

Job category: Administration / Management

Sai Sukhda Hospital, Gulzar Nagar, Bareilly

About DoctHub Jobs - Healthcare Jobs Portal

Docthub Jobs is a dedicated healthcare job portal to find the latest healthcare jobs in India, including medical coding jobs, nursing jobs, and hospital vacancies. Discover opportunities for freshers and experienced professionals with smart filters and real-time updates. Docthub provides a option so recruiters can directly connect with you. Our platform also offers to help you showcase your availability to recruiters and a Resume Builder to create a professional resume in minutes. Explore jobs across top cities and apply to verified openings with ease.