Billing And TPA Executive

This is a full-time on-site role for a TPA Executive at various branches of Sri Sai Eye Hospital / Sri Sai Lions Netralaya in Bihar The TPA Executive will be responsible for coordinating with Ayushman Bharat and third-party administrators processing insurance claims, managing patient billing, and ensuring compliance with TPA guidelines and regulations.

Key Responsibilities:

1. TPA /Insurance, CGHS, ECHS &PSus Management:

· Handle the entire process of patient admission under various TPA and insurance schemes, including documentation, eligibility checks, and obtaining pre-authorizations.

· Ensure timely submission of claims and follow up with TPAs and insurance companies for approval and settlement.

· Coordinate with patients and their families to explain the insurance process, policy coverage, and exclusions.

· Maintain and update records of all TPA, insurance transactions & Claim settlement.

2. Claims Processing:

· Review and verify insurance claims for accuracy and completeness before submission.

· Address and resolve any discrepancies or issues related to claims processing.

· Work closely with the billing department to ensure accurate billing as per insurance policies and guidelines.

3. Coordination and Communication:

· Act as a point of contact between the hospital, patients, insurance companies, and TPAs.

· Communicate effectively with all stakeholders to resolve issues related to insurance claims, approvals, and settlements.

· Provide regular updates to the management on the status of claims and any challenges encountered.

4. Reporting and Documentation:

 · Prepare and maintain detailed records and reports of all insurance-related activities.

 · Generate periodic reports on claim statuses, pending approvals, and settlements.

 · Ensure compliance with hospital policies and insurance regulations.

5. Continuous Improvement:

· Identify opportunities for process improvement in the insurance claims process and work with the team to implement changes.

· Stay updated with the latest developments in the insurance industry, particularly related to healthcare policies.

• It is a Full Time Accountant job for candidates with 3 - 5 years of experience.

More about this Billing And TPA Executive job

1. What is the eligibility criteria to apply for this Billing And TPA Executive job?
   Ans: The candidate should be Graduate and above and above with 3 - 5 years of experience of experience
2. How much salary can I expect for this job role?
   Ans: You can expect a salary of ₹20000 - ₹35000 per month that depends on your interview. It's a Full Time job in Patna.
3. How many working days are there for this Billing And TPA Executive job?
   Ans: This Billing And TPA Executive job will have 6 working days.
4. Are there any charges applicable while applying or joining this Billing And TPA Executive job?
   Ans: No, there is no fee applicable for applying this Billing And TPA Executive job and during the employment with the company, i.e., SHIVA RAMA FOUNDATION.
5. Is it a work from home job?
   Ans: No, it’s not a work from home job and can't be done online.
6. How many openings are there for this Billing And TPA Executive role?
   Ans: There is an immediate opening of 2 Billing And TPA Executive at SHIVA RAMA FOUNDATION
7. Who can apply for this job?
   Ans: Both Male and Female candidates can apply for this Accountant job.
8. What are the timings of this Billing And TPA Executive job?
   Ans: This Billing And TPA Executive job has 11:00 दोपहर - 08:00 रात timing.