TPA Manager

ICLINIX Advanced Eye Care · Delhi

Senior

वेतन₹20,000–30,000महीना, जैसा लिखा है

कहाँDelhi

प्रकारFull time

Posted6 Oct13 दिन पहले, SimplyHired से

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Health insurance authorisationsRecord-keepingInsurance coverage verificationClinical record keepingMedical insurance coverage verificationFilingInvoice processingMedical billing discrepancy resolutionCompliance documentationHealth record trackingPatient record updatingDocumentation handlingClinical discharge summariesManaging patient recordsClaims coordination proceduresMedical claim denial managementClient educationMedical terminologyDocumentation reviewBillingTeam coordinationMedical administrationMedical billing insurance follow-up

इस job के बारे में

Key Responsibilities: Pre-Authorization & Admission  Verify patient eligibility for TPA/insurance benefits.  Collect and process required documents for pre-authorization.  Obtain approval from TPA companies prior to surgeries and procedures.  Educate patients and relatives about insurance process and timelines. Documentation & Coordination  Maintain updated files for all empaneled TPAs and insurance providers.  Ensure proper documentation of patient records as per TPA norms.  Coordinate with consultants, medical records, and billing teams for documentation accuracy. Claims Processing  Prepare and submit final bills, discharge summaries, and related documents to TPAs.  Submit claims within stipulated timelines to avoid delays.  Follow up rigorously on pending and rejected claims.  Resolve discrepancies and ensure claim resubmission if required.

Job Types: Full-time, Permanent
Pay: ₹20,000.00 - ₹30,000.00 per month
Work Location: In person

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