Roles and responsibilities:
Collects and verifies TPA card, Photo ID card or insurance policy at the admission desk while the patient starts receiving necessary medical treatment.
Assists the patients/family members to fill the pre-authorization form and necessary consent forms.
Forwards the completed forms to the concerned TPA by fax/mail within 24 hours of hospitalization of the patient.
Actively responds to any query/additional information asked by the concerned TPA regarding the treatment of the patient.
Coordinate with insurance providers and assist the patients with their insurance approval.
Prepare proper documents to be shared with the insurance companies and regulate a smooth billing process
Co-ordinating with the administrative departments and the vendors,
completing the tasks with high efficiency.
Log budgeting and billing process stage updating in a spreadsheet
Preferred Skills:
Students pursuing a Bachelors or Master’s degree
minimum 1-3year experiences in TPA BILLING /operation
Excellent written and verbal communication skills.
Ability or a willingness to learn how to use web analytics tools
Working knowledge of MS Office
Solid communication skills to be able to liaise with senior management
Organizational skills
Problem-solving skills