18 Sep
|
Healing Hospital and Institute of Paramedical Sciences
|
Chandigarh
18 Sep
Healing Hospital and Institute of Paramedical Sciences
Chandigarh
We are looking for an experienced and result-oriented TPA Recovery Executive who has good knowledge of TPA processes, insurance claims, hospital billing, claim follow-up, and outstanding recovery.
The candidate will be responsible for coordinating with TPAs, insurance companies, patients, and internal hospital/finance teams to ensure timely settlement and recovery of outstanding claims.
Key Responsibilities
- Follow up with TPAs and insurance companies for pending/outstanding claims.
- Track claim status from submission through approval and final settlement.
- Coordinate with TPA/insurance representatives regarding queries, deductions, rejections, and pending documents.
- Follow up for recovery of long-pending and disputed amounts.
- Coordinate with hospital billing, medical records, accounts, and other departments for resolving claim-related issues.
- Ensure timely submission of required documents and clarification of claim queries.
- Visit TPA offices, insurance companies, and other concerned offices whenever required.
- Maintain proper records of claim follow-ups, commitments, settlements, rejections, and recoveries.
- Escalate unresolved claims and major deductions to management.
- Identify recurring reasons for claim delays/rejections and assist in improving the recovery process.
- Prepare daily/weekly/monthly MIS reports related to TPA outstanding and recovery.
- Achieve assigned recovery targets and ensure timely closure of pending claims.
Candidate Requirements
- Graduate in any discipline; candidates with healthcare, insurance, finance, or hospital administration background preferred.
- 2–3 years of experience in TPA/Insurance claims, hospital billing, or recovery.
- Good practical knowledge of TPA processes and health insurance claims.
- Experience in dealing with TPA/insurance personnel will be an advantage.
- Strong follow-up and negotiation skills.
- Good communication and interpersonal skills.
- Must be willing to travel for field visits to TPA/insurance offices and other locations.
- Basic knowledge of MS Excel and MIS reporting.
- Should be target-oriented, disciplined, and capable of working independently.
Travel: Willingness to travel is essential Job Type: Full time
Pay: ₹15,000.00 - ₹20,000.00 per month
Work Location: In person
📌 TPA Recovery Executive (Chandigarh)
🏢 Healing Hospital and Institute of Paramedical Sciences
📍 Chandigarh