Tpa Coordinator - Bengaluru, India - Connect and Heal Primary Care Private Limited
Description
Job Summary:
Responsibilities:
- Process and adjudicate all outpatient claims submitted to our organization
- Ensure timely and accurate processing of requests
- Verify the eligibility of the patient for the claim
- Ensure that all claims are compliant with applicable policies, procedures, and regulations
- Review and interpret provider contracts, fee schedules, and reimbursement policies
- Conduct audits to ensure that claims are properly documented and supported
- Communicate with providers and other stakeholders to resolve issues related to claims
Requirements:
- Bachelor's degree in healthcare or a related field
- At least 1 years of experience in processing outpatient and inpatient claims
- Knowledge of medical terminology, CPT codes, and ICD-10 coding
- Familiarity with insurance policies, procedures, and regulations
- Excellent communication and problem-solving skills
- Ability to work independently and manage multiple tasks simultaneously
- Attention to detail and accuracy 8. Strong computer skills, including proficiency in Microsoft Office and claims processing software
Salary:
₹350, ₹450,000.00 per year
Benefits:
- Health insurance
- Provident Fund
Schedule:
- Day shift
- Rotational shift
Ability to commute/relocate:
- Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (required)
Education:
- Bachelor's (preferred)
Experience:
- total work: 1 year (required)
Speak with the employer
- Health insurance
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