Third Party Administrator - Palghar, India - Relief Hospitals

Relief Hospitals

Verified Company

Palghar, India

6 days ago

Posted by:

Deepika Kaur

beBee Recuiter

Responsible for Collection covering TPA,
Empanelment, Corporate/PSU and Panel i.e. ECHS, CGHS, different government Yojana etc.

Collects and verifies TPA card, Photo ID card or insurance policy at the admission desk while the patient starts receiving necessary medical treatment.
Counseling patients on their Health Insurance/Claims.
Forwards the completed forms to the concerned TPA by mail within 24 hours of hospitalization of the patient.
Help Hospital Administrator to handle medical Scrutiny.
Provide opinion for Health Insurance claims.
Maintaining & Ensuring SOP & protocols.
Processing of cashless requests & Mediclaim documents.

- Keep close eye for insurance patient billing, Packages and other billing process.

Actively responds to any query/additional information asked by the concerned TPA regarding the patient.
Coordination with Pharmacy department /billing department and other departments of hospitals related to TPA.
Overall knowledge of panel business and support wherever required.
Provide Medical opinion for Health Insurance Claims.
Understanding of Policy terms & conditions & Various Protocols / Guidelines.
VIP Claims Processing and TAT Maintenance.

Job Types:
Full-time, Permanent

Pay:
₹10, ₹12,000.00 per month

Benefits: