16 Oct
|
Max Superspeciality Hospital, Vaishali Ghaziabad
|
Ghaziabad
16 Oct
Max Superspeciality Hospital, Vaishali Ghaziabad
Ghaziabad
Greetings from Max Superspeciality Hospital, Vaishali, Ghaziabad!
We are hiring for proactive and dynamic TPA professional.
Role & responsibilities
- To be responsible for maintaining TPA Processing of cashless and all post discharge health insurance claims.
- To be responsible to maintain overall TAT entry to exit.
- TPA query reply and preauthorisation follow up with insurance company / tpa.
- Medical scrutiny and medical opinion for health insurance claims.
- Efficient in claim adjudication and claim processing.
- Maintaining and ensuring Standard Operating Procedures and protocols.
- To be responsible for keeping record for all correspondence done for TPA.
- Post discharge reconciliation for utilization of claims.
- Timely reply to internal TPA complaint portal.
- TPA discharge follow up and closure.
- Mmaintenance of departmental records as per the NABH requirement.
- Effective utilization of hospital information system, MIS generation of TPA patients.
- To display proactive cooperation and contribute to cordial inter and intra team relations, solution orientation and team solidarity. Should be cost effective.
- To participate in training programs to maintain and update your skilled knowledge.
- To achieve high levels of customer satisfaction at each interaction.
Any task assigned to you by your HOD from time to time.
Preferred candidate profile
Any Graduate with 7-12 years of experience in TPA OF hospital industry.
Interested applicants can WhatsApp their CV's on (phone hidden) (Shivani Bhati)
📌 Assistant Manager/Deputy Manager - TPA (Ghaziabad)
🏢 Max Superspeciality Hospital, Vaishali Ghaziabad
📍 Ghaziabad