16 Sep
|
NOBLECARE CONSULTANCY
|
Ranchi
16 Sep
NOBLECARE CONSULTANCY
Ranchi
A TPA (Third-Party Administrator) Coordinator acts as the primary liaison between a healthcare facility (or corporate office), patients, and insurance companies/TPAs to manage and streamline medical insurance claims and cashless hospitalization
Pre-Authorization & Cashless Approvals: Verify patient insurance eligibility upon admission and submit pre-authorization forms and medical estimates to the TPA for cashless treatment approvals.
Liaison & Communication: Communicate daily with hospital billing, accounts, and medical staff, as well as external TPA representatives, to clear pending queries and track claim settlements.
Patient Guidance: Help patients and their families understand their insurance coverage, policy limits, co-pays, and exclusions
Record Keeping & Reporting: Maintain up-to-date patient insurance logs, digital portal uploads, and MIS (Management Information System)
reports regarding claim statuses
Key Requirements & Skills
Education: A bachelor’s degree in healthcare administration, business administration, or life sciences/nursing (often preferred in medical settings).
Experience: 06 Month to 1+ years of experience in healthcare billing, medical claims processing, or insurance coordination
Knowledge: Solid familiarity with health insurance guidelines, TPA portals, medical terminology, and hospital billing systems
Soft Skills: Excellent verbal communication, negotiation, meticulous attention to detail, and multitasking capabilities
Pay: ₹15,000.00 - ₹18,000.00 per month
Work Location: In person
📌 TPA Executive (Ranchi)
🏢 NOBLECARE CONSULTANCY
📍 Ranchi