Key Responsibilities1. Patient Finance Processing
Guide and counsel patients or their attendants regarding the available medical financing and loan options for their treatments. Collect all necessary finance-related documents (KYC, income proofs, bank statements, etc.) from the patients. Ensure all finance application forms are accurately filled out and immediately dispatched to the Head Office (HO) for loan processing and approval. 2. Mediclaim & TPA Documentation
Identify patients covered under medical insurance/TPA and explain the cashless or reimbursement processes to them. Collect all mandatory mediclaim documents, including insurance ID cards, government-issued IDs, pre-authorization forms, doctor's prescriptions, and diagnostic reports. Gather all post-treatment hospital documents, such as discharge summaries, final hospital bills, and payment receipts. Organize and submit the complete mediclaim dockets to the HO for claim processing. 3. Query Resolution (Insurance & Finance)
Monitor the status of pre-authorizations, final claim settlements, and finance approvals.
Act as the primary point of contact for any queries raised by the TPA, Insurance Company, or Finance Partner. Coordinate directly with hospital staff (doctors, nurses, billing department) to gather the specific medical documents or justifications needed to resolve queries. Promptly submit all query-related documents to the HO to prevent delays in patient discharge or payment settlements. 4. Record Keeping & Communication
Maintain accurate digital and physical trackers of all documents sent to the HO. Keep patients and internal hospital departments updated on the status of their finance approvals and insurance claims. Qualifications & Requirements Education: Bachelor's degree in Commerce, Business Administration, Healthcare Management, or a related field. Experience: 1 to 3 years of experience in a hospital billing department, TPA desk, or medical insurance claims processing. Knowledge: Robust unders
📌 Tpa executive (Ahmedabad)
🏢 Nucleon Health
📍 Ahmedabad
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