04 Aug
|
Narayan Medical College u0026 hospital
|
Sasaram
04 Aug
Narayan Medical College u0026 hospital
Sasaram
Key Responsibilities
- Operations Oversight: Manage the cashless desk, insurance desks, and medical billing operations for all empanelled TPAs, corporate schemes, and government health packages.
- Pre-Authorization &
- Approvals:
Oversee timely submission of pre-authorization forms, initial estimates, enhancement requests, and final discharge approvals.
- Denial &
- Query Management:
Handle claim queries, short payments, rejections, or denials from insurers by coordinating with clinical and medical record teams.
- Liaison &
- Networking:
Build and maintain qualified relationships with insurance companies, TPAs, and corporate houses.
- Compliance &
- Auditing:
Ensure complete alignment with hospital pricing policies, package rates, regulatory standards, and individual insurance contract terms.
- Team Leadership: Train, mentor, and supervise TPA executives, billing staff, and front-desk helpers to ensure patient satisfaction and low turnaround times.
Qualification
- Education: Bachelor’s degree in Business Administration, Healthcare, Management, or a related field.
- Experience: 2 to 5+ years of experience.
Work Location: In person
📌 Cashless Manager (Sasaram)
🏢 Narayan Medical College u0026 hospital
📍 Sasaram