Urgent Requirement For TPA Coordinator

Shivangi Group of Management

Full job description

We are looking for a TPA for Our Client company based in Australia in Gurgaon.

(What Is a Third-Party Administrator (TPA)?

A third-party administrator is a company that provides operational services such as claims processing and employee benefits management under contract to another company. Insurance companies and self-insured companies often outsource their claims processing to third parties.)

Roles & Responsibilities

Handling TPA-related all processes from billing to coordinating with TPA companies.

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Interpret the ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariff, and capping...

Assisting with all co-ordination activities from patient's admission to discharge.

Follow up with Insurance companies to pass or clear the Health Insurance claims.

REQUIREMENTS

Should have good knowledge of all TPA work.

Must be aware of the norms of the insurance sector.

Basic Knowledge of billing.

Required Exp from TPA , health insurance background, knows cost containment.

International Classification of Diseases (ICD)

Education Qualification: Doctor Degree Only in medical

Job Type: Full-time

Salary: 35, - 70, per month

Schedule: Day shift

Ability to commute/relocate:

Near Mg Metro Station, Gurgaon - , Haryana

Reliably commute or planning to relocate before starting work (Preferred)

Experience:

TPA: 4 year (Preferred)

Note: Only immediate joiners can apply

Experience : 3 - 9 Years

No. of Openings : 1

Education : DM/Doctorate of Medicine

Role : TPA Coordinator

Industry Type : Hospitals / Medical / Healthcare Equipments

Gender : [ Male / Female ]

Job Country : India