TPA Executive / TPA Billing Executive

at Remote Healthcare Technologies Private Limited

DP
Posted by karuna pandey
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Navi Mumbai, Mumbai
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1 - 2 yrs
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₹2.5L - ₹3L / yr
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Full time
Skills
Communication Skills
Health insurance
Insurance management
Medical billing
Medical records

Full Job Description

Job Role: TPA Executive/ TPA Billing Executive

Position: Full time

Salary:   As per Industry

Location: Mumbai

Qualifications and Experience

  • Bachelor’s degree in any discipline or equivalent.
  • Must have min. 06 – 12 months of experience.
  • Experience into Health care is must.

Responsibilities

    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 co-ordination activities from patient’s admission to discharge.
  • Handling billing Department, Implants bill updating & reconciliation
  • Daily co-ordination 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.
  • To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
  • Must be aware of norms of the insurance sector.
  • Daily follow up with Insurance companies to pass or clear the Health Insurance claims

 

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About Remote Healthcare Technologies Private Limited

Founded
2021
Type
Size
20-100
Stage
Profitable
About
SecondMedic offers online Healthcare services such as Talk To Doctors Online, Doctor Consultations Online, Get Second Opinion, Book Lab Tests Online, Buy Medicines Online across Bangalore, Kolkata, Hyderabad, Patna, Delhi, Ahmedabad, Jodhpur, Chennai, Coimbatore, Pune, Mumbai, Indore, Chandigarh, Delhi and Noida.
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