Tpa Cghs & Dghs Claim Coordinator

Year    DL, IN, India

Job Description

They perform administrative duties such as coordinating care teams for patients, and acting as a liaison between patients, patient families, and health care professionals . They also oversee budgets, hire and train staff, and develop and implement clinic policies and protocols. A Graduate with proven experience in TPA/Insurance in hospital Industries.

Good interpersonal / Communication skills/experience in CGHS Claim in the hospital industry.

Collects and verifies TPA card, Photo ID card or insurance policy at the admission desk while the patient starts receiving necessary medical treatment.

Assists the patients/family members to fill the pre-authorization form and necessary consent forms.

Forwards the completed forms to the concerned TPA by fax/mail within 24 hours of hospitalization of the patient.

Actively responds to any query/additional information asked by the concerned TPA regarding the treatment of the patient.

Follows up with the concerned TPA for the authorization letter and duly informs the patient/ family members.

In case of issuance of a denial letter, ensures that the patient/family members settle the entire bill amount by cash payment.

Cashless Insurance claim settlement from start to end.

Job Type: Full-time

Pay: ?18,000.00 - ?20,000.00 per month

Schedule:

• Day shift

Supplemental pay types:

• Overtime pay
• Performance bonus
• Yearly bonus

Ability to commute/relocate:

• Delhi, Delhi: Reliably commute or planning to relocate before starting work (Preferred)

Education:

• Bachelor's (Preferred)

Application Deadline: 18/07/2024
Expected Start Date: 11/10/2024

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Job Detail

  • Job Id
    JD3392321
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Contract
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    DL, IN, India
  • Education
    Not mentioned
  • Experience
    Year