A Third Party Administrator (TPA) incharge in a hospital has many responsibilities, including:
• Claims management : Process medical bills and insurance claims accurately and efficiently, while adhering to company policies and regulations
• Customer service : Respond to patient and client inquiries, resolve issues, and provide updates on claim statuses
• Policy administration : Review and validate insurance policy details to ensure correct coverage and policy benefits
• Record keeping : Maintain accurate records of all claim-related documents, transactions, and communications
• Collaboration : Coordinate with healthcare providers, insurers, and other stakeholders to resolve claims-related issues
• Compliance : Ensure compliance with regulatory requirements
• Front office : Manage front office responsibilities
• Customer experience : Manage the total customer experience questionnaires dissemination process
• Departmental operations : Run departmental operations with maximum degree of patient centricity
Job Type: Full-time
Schedule:
• Day shift
Experience:
• total work: 1 year (Preferred)
Work Location: In person
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