*Counselling patients and relatives for cashless procedure, eligibility of class as per policy T&C.; payment of non-medical expenses which not covered under policy.
*Collecting relevant documents for cashless, filling up of preauthorisation form, coordinating with treating doctor & ward RMO for getting relevant information for cashless procedure & query raised by the Insurance Co. / TPA.
*Coordinating with concerned Insurance Co. / TPA authority for getting approval letter, enhancement letter matching with total bill & updating Billing department about status of cashless sanctioned amount.
*Coordination with patient, Ward RMO, transcriptionist & billing department at the time of discharge for preparation of final bill & discharge summary.
*Verifying & scrutinising the cashless claim file prepared by TPA executive, answering the post claim queries raised by Insurance Co. / TPA.
*Coordinating with billing department for refund of security deposit paid by patient.
*Coordinating with investigator & arranging the relevant letter for cashless procedure.

*Reply of post discharge query of cashless / reimbursement claim file.

📌 TPA Executive (Pune)
🏢 Jupiter Hospital
📍 Pune