Health Insurance Claim Processing & Hospitals Coordination Executive (Uttar Pradesh)

Health Insurance Claim Processing & Hospitals Coordination Executive (Uttar Pradesh)

10 Aug
|
Utility ayurveda online clinic
|
Uttar Pradesh

10 Aug

Utility ayurveda online clinic

Uttar Pradesh

Key Responsibilities1 Hospital Tie-Up Visits Visit hospitals regularly Meet with TPA Desk Medical Superintendent or Billing Head Explain the service proposal and MOU Support in onboarding new hospitals 2 Document Collection Collect required patient documents from the hospital including KYC documents Treatment estimate Pre-authorization papers Final bill and bill breakup Doctor s notes Discharge summary Payment receipts Prepare a list of missing documents 3 Claim File Preparation Scan organize and arrange all documents Prepare the claim file in standard format Follow proper PDF naming guidelines Ensure all documents are ready for portal uploading 4 Claim Submission TPA Insurance Portal Upload pre-authorization files File enhancement requests Submit final claim files Respond to queries raised by TPA Insurance Track approval and rejection status 5 Daily Reporting Update the daily case status sheet Maintain submitted approved pending claim lists Share daily updates with the hospital Maintain the internal reporting dashboard 6 Coordination Follow-up Follow up with TPA Insurance representatives Coordinate with hospital billing teams Highlight and escalate claim delays Provide clarifications whenever required Required Skills Basic knowledge of Hospital TPA Insurance preferred Solid communication and coordination skills Knowledge of document handling and scanning Computer proficiency Email PDF tools Excel portal operations Must have a bike and a valid driving license Qualification Graduate Diploma Experience 0 6 - 3 years TPA claim processing hospital billing preferred Job Type Full-time Pay 15 000 00 - 16 000 00 per month Benefits Paid sick time Paid time off Ability to commute relocate Noida Uttar Pradesh Reliably commute or planning to relocate before starting work Preferred Language hindi english Preferred Willingness to travel 50 Preferred Work Location In person

📌 Health Insurance Claim Processing & Hospitals Coordination Executive (Uttar Pradesh)
🏢 Utility ayurveda online clinic
📍 Uttar Pradesh

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