Tpa Coordinator
Job Description
1. Claims ProcessingVerify, process, and submit insurance claims with accurate documentation.
Track claim status, address rejections, and handle appeals if necessary.
2. Patient AssistanceGuide patients on claim procedures, coverage details, and exclusions.
Assist with pre-authorizations for treatments as required.
3. Coordination with Insurance CompaniesAct as a liaison between the hospital and insurance providers.Resolve claim issues, approvals, and disputes.
4. Compliance and DocumentationEnsure compliance with regulations and maintain secure records.Protect patient data confidentiality
.5. Billing and ReimbursementCoordinate with billing to ensure charges align with policy.
Manage reimbursement processing with finance and insurance companies
.6. Reporting and AnalysisGenerate claim reports and analyze trends to improve efficiency.
7. Customer ServiceProvide clear, supportive service to patients and foster strong relationships with insurers
.8. Training and DevelopmentTrain staff on TPA procedures and stay updated on policy changes.
Job Types: Full-time, Permanent
Pay: Up to ?28,000.00 per month
Benefits:
• Provident Fund
Schedule:
• Day shift
Supplemental Pay:
• Performance bonus
Work Location: In person
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Job Detail
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Job IdJD3523064
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IndustryNot mentioned
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Total Positions1
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Job Type:Contract
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationUP, IN, India
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EducationNot mentioned
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ExperienceYear