- Coordinate with patients, doctors, and billing departments for cashless admission procedures
- Process and submit pre-authorization requests to TPAs/Insurance companies
- Follow up for approvals, queries, and enhancements from TPAs/Insurers
- Verify patient insurance details, policy coverage, and eligibility
- Maintain accurate documentation for cashless cases
- Handle denials, rejections, and justifications with supporting medical records
- Assist in final bill preparation and submission for cashless settlements
- Track pending approvals and settlements to ensure timely closure
- Ensure compliance with hospital policies and insurer guidelines
- Maintain proper records and MIS reports for management
- Coordinate with finance and accounts teams for reconciliation
- Handle patient and attendant queries related to cashless insurance
- Good knowledge of TPA and health insurance processes
- Familiarity with pre-authorization and claim settlement procedures
- Strong communication and coordination skills
- Attention to detail and documentation accuracy
- Ability to handle pressure and multiple cases simultaneously
- Basic computer knowledge (MS Excel, Hospital Information System)
- Graduate in any discipline
- Experience in TPA, hospital billing, medical coding, or claim processing is an added advantage.
-
The Cashless Executive handles cashless hospitalization processes and coordinates with TPA's and insurance companies. · Coordinate with patients, doctors, and billing departments for cashless admission proceduresProcess and submit pre-authorization requests to TPA's/Insurance com ...
Ahmedabad3 weeks ago
-
CASHLESS AND REIMBURSEMENT HEALTH CLAIMS PROCESSING · ...
Satellite, Ahmedabad, Gujarat1 month ago
-
This is a Senior Executive Health Claims Assessment role. · The candidate will register claims on a daily basis, scrutinize documents, set reserves on the system based on claim documents, · and perform technical processing of claims including billing and deductions. · Claim regi ...
Ahmedabad, Gujarat1 month ago
-
Claim registration On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents · Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents · Technical processing claims which has been assigned ...
Ahmedabad3 days ago
-
We are seeking a dedicated and detail-oriented Assistant Manager of Mass Health Claims to join our dynamic team in the insurance industry. · As the Assistant Manager, you will be responsible for overseeing the day-to-day operations of the claims department, · ensuring compliance ...
Ahmedabad4 weeks ago
-
We are looking for a motivated individual to manage insurance claims, ensuring accurate documentation and timely processing. The ideal candidate will have previous experience in an insurance claims back office and a keen eye for detail. · Key Responsibilities: · Manage and proce ...
Ahmedabad Full time6 days ago
-
Job Title: Back Office Executive – Insurance Claims · Location: Ahmedabad · Interview Mode - Walk-in/F2F · Salary: 20, ,000 · Positions Available: 2 · Job Description: · We are seeking dedicated and detail-oriented Back Office Executives to manage insurance claims and ensure accu ...
Ahmedabad, Gujarat, India2 days ago
-
Involves handling and assessing claims, which includes identifying the type of claim and policy upon receipt. · Effective coordination and communication play a key role in the job. · ...
Ahmedabad1 month ago
-
Key Responsibilities: · Independently manage client accounts, maintaining excellent client relations and satisfaction · Oversee end-to-end claims handling from loss notification to final report submission · Coordinate with field surveyors and internal teams to ensure timely asses ...
Ahmedabad Full time6 days ago
-
We are hiring Executive Auto claims for Ahmedabad, · Greetings from TATA AIG General Insurance.....Handle claim intimation, registration, and documentation. · Verify policy coverage and assess claim admissibility. · Coordinate with surveyors and workshops for vehicle inspection. ...
Ahmedabad3 weeks ago
-
Handle international customer interactions UK process via voice email as per business requirement Process expense claims and reimbursement requests accurately within defined TAT Review validate and process billing invoice data as per client guidelines Manage subcontractor vendor ...
Ahmedabad3 weeks ago
-
We are hiring Executive Auto claims for Ahmedabad. · Handle claim intimation, registration, and documentation. · Verify policy coverage and assess claim admissibility. · ...
Ahmedabad4 weeks ago
-
The Finance Trainee will be responsible for timely and accurate analysis and processing of Medicaid Rebate claims. · Calculate, validate and process all assigned Medicaid rebates within legislative timeline. · Prepare reports required for submission to states. · ...
Ahmedabad3 weeks ago
-
The Assistant Manager Execution will be responsible for Smooth Processing of Claim, Reserve Setting and other tasks. · Tracking of each Matter from Claims Dairy · Scrutiny of Investigation Reports · Vetting of Written Statement, Written notes of Argument, Misc Application etc. · ...
Ahmedabad, Gujarat ₹350,000 - ₹900,000 (INR) per year1 week ago
-
Smooth Processing of Claim · Reserve Setting · Line of Action to be taken from Approval Team · Tracking of each Matter from Claims Dairy · Scrutiny of Investigation Reports · Settlement of Clear matters · Co-ordinate with Advocates for processing of MACP Claims · Co-ordination wi ...
Ahmedabad ₹350,000 - ₹900,000 (INR) per year5 days ago
-
This is a full-time, on-site role for an AR Caller - Voice Process role based in Ahmedabad. · ...
Ahmedabad, Gujarat1 month ago
-
Medical Officer role involves claims adjudication and approval with focus on TAT accuracy productivity claims cost fraud and leakage control. · ...
Ahmedabad, Indore, Mumbai1 month ago
-
International Client Service Executive · Overview: · This company does end to end medical billing process. This Company works on behalf of Hospital & Doctors in USA, to process their bills by coordinating with insurance companies, so the person working as a process associate thei ...
Ahmedabad2 days ago
-
Overview: · This company does end to end medical billing process. This Company works on behalf of Hospital & Doctors in USA, to process their bills by coordinating with insurance companies, so the person working as a process associate their job profile is to coordinate with insur ...
Ahmedabad $25,000 (USD) per year2 days ago
-
Conducting surveys in field and assessment of loss. · ...
Ahmedabad2 weeks ago
Cashless Executive – TPA Claim Process - Ahmedabad - Nucleon Health
9 hours ago
Description
Job Title: Cashless Executive
Department: TPA
Location: Ahmedabad
Experience Required: 2–5 years (TPA/Healthcare Industry preferred)
Job Summary
The Cashless Executive is responsible for handling cashless hospitalization processes, coordinating with TPAs and insurance companies, processing pre-authorizations, and ensuring timely approvals and settlements while maintaining accuracy and compliance with hospital and insurer guidelines.
Key Responsibilities
Key Skills Required
Qualifications
-
Cashless Executive – TPA Claim Process
Only for registered members Ahmedabad
-
Non MBBS doctor for health claims processing
Only for registered members Satellite, Ahmedabad, Gujarat
-
Senior Executive Health Claims Assessment
Only for registered members Ahmedabad, Gujarat
-
Senior Executive Health Claims Assessment
Only for registered members Ahmedabad
-
Assistant Manager Mass Health Claims
Only for registered members Ahmedabad
-
Executive / Sr. Executive Insurance (Claim)
Full time confidential- Ahmedabad
-
Back Office Executive-Insurance Claim
Only for registered members Ahmedabad, Gujarat, India
-
Claims Examiner
Only for registered members Ahmedabad
-
Claims Manager General Insurance
Full time confidential- Ahmedabad
-
Walk-In Interview
Only for registered members Ahmedabad
-
Customer Support Executive- Billing
Only for registered members Ahmedabad
-
Walk-In Interview
Only for registered members Ahmedabad
-
Finance Trainee
Only for registered members Ahmedabad
-
Assistant Manager Execution
Only for registered members Ahmedabad, Gujarat
-
Assistant Manager Execution
Only for registered members Ahmedabad
-
AR Caller/Sr. AR Caller
Only for registered members Ahmedabad, Gujarat
-
Medical Officer
Only for registered members Ahmedabad, Indore, Mumbai
-
International Client Service Executive
Only for registered members Ahmedabad
-
International Client Service Executive
Only for registered members Ahmedabad
-
Manager - Motor OD Claims
Only for registered members Ahmedabad