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TPA- In Charge

Kolkata
Full-Time
Executive: 10 to 30 years
4L - 5L (Per Year)
Posted on Oct 06 2023

Not Accepting Applications

About the Job

Skills

TPA Portals
Norms of the insurance sector
UG: Graduation
BAMS in Ayurveda
BHMS in Any Specialization
TPA-Billing

Criteria: Candidates should be from hospital background and having minimum 10 years of experience.


Education: UG: Graduation or BAMS in Ayurveda, BHMS in Any Specialization.


Job Description:

> Handling TPA related all process from billing to co-ordinate with TPA companies.

> Responsible for counseling patient's family & pre-Auth process.

> Maintaining & uploading patient's files on the portal.

> Couriering the hard copy of patient's medical file to the Insurance companies.

> Responsible for all coordination activities from patient's admission to discharge.

> Handling billing Department, Implants bill updating & reconciliation.

> Daily coordination with the patient and Hospital staff.

> Preparing split bills/ Doctor charges etc.

> Handling all TPA Portals.

> Outstanding follow-up with TPA.

> Monthly Review report.

> To obtain and review referrals and authorizations for treatments.

> Must be aware of norms of the insurance sector.

> Daily follow up with Insurance companies to pass or clear the Health Insurance claims.

About the company

placement and service

Headquarter

Kolkata