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:
Positive 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.