TPA Executive

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TPA Executive

work outline icon3 - 6 Years of Experiencerupess outline iconNot disclosed time outline iconFull Time

Fortis Hospital, Greater Noida

time outline iconGreater Noida, Uttar Pradesh, India

Posted on 02-09-2024

354 Views

1 Vacancy

Description

  • Review and process insurance claims submitted by healthcare providers and patients.
  • Ensure all required documentation is complete and accurate before submission to insurance companies.
  • Monitor claim status and follow up as necessary to expedite processing and resolution.
  • Verify patient insurance coverage, policy details, and eligibility prior to medical services.
  • Obtain pre-authorization for treatments and procedures from insurance companies when required.
  • Act as a point of contact for patients and healthcare providers regarding insurance-related inquiries and issues.
  • Maintain accurate records of all insurance claims, approvals, rejections, and related documentation.
  • Prepare and submit reports on claim status, processing times, and other metrics to management.
  • Assist patients in understanding their insurance benefits and the claim process.

 

Category

Administration / Management

Key Skills

Attention to DetailAttentivenessProblem solvingCommunicationTPA Executive

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