Axten Hospitals is looking for a skilled and dedicated TPA Executive to manage cashless patient admissions, insurance coordination, and claim processing.
Key Responsibilities:
- Handle cashless patient admission and discharge procedures.
- Coordinate with TPA companies, insurance providers, and corporate clients.
- Verify patient insurance policies, eligibility, and pre-authorization requirements.
- Prepare and submit pre-authorization requests and medical documents.
- Follow up on claim approvals, enhancements, and final authorizations.
- Ensure timely submission of insurance claims and required documentation.
- Coordinate with doctors, billing, front desk, and other hospital departments.
- Resolve queries raised by TPAs and insurance companies.
- Maintain accurate records of cashless cases, claims, and pending approvals.
- Ensure compliance with hospital policies and insurance procedures.
Required Skills:
- Good knowledge of TPA, health insurance, and cashless hospitalization processes.
- Robust communication and coordination skills.
- Basic computer knowledge and proficiency in MS Excel.
- Ability to manage multiple cases and meet deadlines.
- Attention to detail and a patient-centric approach.