Qualification: Any Graduate

Salary : As per Caliber & Industry Standards

Must have skills-
  •    Good Communication skills, Pleasing personality & willingness to travel for work
  •  Develop and maintain relationships with consumers, industry influencers and community leaders
  •  Record maintenance

Experience: Minimum 1 Year Experience in healthcare.

Hospital Timing : 09:00 AM to 7:30PM

Leaves: 2 Informed Leaves per month (Encashment Available)

Whatsapp your CV: 92573 14364

Qualification: Any Graduate (Proficiency in using healthcare management software and MS Office)

Salary : As per Caliber

Key Responsibilities:
* Empanelment
* Identify and establish relationships with various insurance companies, corporate clients, and TPAs for empanelment purposes.
* Negotiate terms and conditions for empanelment agreements.
* Maintain and update the empanelment database and agreements.
* Ensure timely renewal and compliance of empanelment agreements.
* Coordinate with the billing department to ensure smooth processing of claims as per empanelment agreements.
* Third Party Administration (TPA):
* Liaise with TPAs for smooth and efficient processing of patient claims.
* Ensure accurate and timely submission of pre-authorization requests and claims to TPAs.
* Track and follow up on the status of submitted claims and ensure timely reimbursements.
* Address and resolve any issues or discrepancies related to TPA claims.
* Maintain comprehensive records of all TPA transactions and communications.
* Patient Coordination:
* Assist patients with the documentation and submission process for insurance claims.
* Provide guidance to patients regarding their insurance policies and coverage details.
* Handle patient inquiries related to empanelment and TPA services.
* Compliance and Reporting:
* Ensure adherence to all regulatory and compliance requirements related to empanelment and TPA operations.
* Prepare and present regular reports on empanelment and TPA activities to the management.
* Stay updated with the latest industry trends, regulations, and best practices related to insurance & TPA.

Experience: Minimum 2-3 years in Empanelment and TPA processes within the healthcare industry.

Hospital Timing : 09:00 AM to 7:30PM

Leaves: 2 Informed Leaves per month (Encashment Available)

Whatsapp your CV: 92573 14364