Job Description

To check the eligibility of the patients for Insurance coverage by checking patient I.D. Card and other relevant documents.

By using software provided by Health sprint, to send authorization requests to TPA and get the approval.

Will be responsible for checking the claim to be submitted to the Insurance Companies/TPAs with all relevant documents.

All calculations including service tax will be checked for each bill before submission.

Handling patients on co pay and follow up on refunds wherever required.

Submission of bills and follow up with TPAs for payment within stipulated time and also TDS certificates.

Verifying and checking payments received from TPAs and follow up for short payments, if any.

Visit TPA offices whenever required to expedite payment process.

Quarterly reconciliation of accounts with TPAs.

Will be responsible for checking the credit bills to be sent to corporates.

Follow up of payments within stipulated period.

Study, understand all MOUs and ensure all terms and conditions are followed in all claims/ bills. and in payments. To check the eligibility of the patients for Insurance coverage by checking patient I.D. Card and other relevant documents.

By using software provided by Health sprint, to send authorization requests to TPA and get the approval.

Will be responsible for checking the claim to be submitted to the Insurance Companies/TPAs with all relevant documents.

All calculations including service tax will be checked for each bill before submission.

Handling patients on co pay and follow up on refunds wherever required.

Submission of bills and follow up with TPAs for payment within stipulated time and also TDS certificates.

Verifying and checking payments received from TPAs and follow up for short payments, if any.

Visit TPA offices whenever required to expedite payment process.

Quarterly reconciliation of accounts with TPAs.

Will be responsible for checking the credit bills to be sent to corporates.

Follow up of payments within stipulated period.

Study, understand all MOUs and ensure all terms and conditions are followed in all claims/ bills. and in payments.

Job Type: Full-time

Pay: ?20,000.00 - ?25,000.00 per month

Benefits:

• Health insurance
• Leave encashment
• Provident Fund

Schedule:

• Day shift

Supplemental Pay:

• Yearly bonus

Experience:

• total work: 1 year (Preferred)

Work Location: In person