TPA Executive

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TPA Executive

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

The Sight Avenue Eye Hospital, Gurugram

time outline iconGurugram, Haryana, India

Posted on 24-12-2024

18 Views

1 Vacancy

Description

  • Handle the processing of insurance claims efficiently and accurately.
  • Verify policy details and coverage before processing claims.
  • Review claim forms, medical reports, and supporting documents to ensure they meet the necessary requirements.
  • Coordinate with hospitals, doctors, and patients to obtain any additional information needed for claims approval.
  • Act as the point of contact between hospitals, patients, and insurance providers.
  • Communicate with insurance companies to resolve issues or clarify policy terms and conditions.
  • Ensure timely submission of claims to insurance companies and follow up for approval or settlement.
  • Assist patients and healthcare providers with pre-authorization processes for planned surgeries or treatments.
  • Provide patients with details on coverage and benefits available under their insurance policies.

Category

Administration / Management

Key Skills

Attention to DetailCommunicationPositive AttitudeProblem solvingTPA Executive

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