TPA Executive
0 - 5 Years of ExperienceNot disclosed Full Time
Madhukar Rainbow Childrens Hospital and Birthright, New Delhi
New Delhi, Delhi, India
Posted on 14-10-2024
69 Views
1 Vacancy
Description
- Process and manage health insurance claims submitted by policyholders or healthcare providers.
- Review claims for completeness and accuracy, ensuring all necessary documentation is provided.
- Assist policyholders with inquiries related to their claims, coverage, and benefits.
- Provide guidance on the claims process, including necessary documentation and timelines.
- Liaise with hospitals and healthcare providers to facilitate the smooth processing of claims.
- Verify the eligibility of patients and their coverage before treatment.
- Maintain up-to-date records of policies, claims, and communication with clients and providers.
- Ensure compliance with internal policies, regulatory requirements, and industry standards.
- Accurately enter data related to claims and policyholders into the TPA management system.
- Generate reports on claims processing metrics, trends, and performance.
Category
Administration / Management
Key Skills
Attention to DetailProblem solvingAttentivenessTeam WorkPositive AttitudeTPA Executive
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