Responsibilities:

Handling TPA related all process from billing to co-ordinate with TPA companies.
Responsible for counseling patient's family & pre-Auth process.
Maintaining & uploading patient's files on the portal.
Couriering the hard copy of patient's medical file to the Insurance companies.
Responsible for all co-ordination activities from patient's admission to discharge.
Handling billing Department, Implants bill updating & reconciliation.
Daily co-ordination with the patient and Hospital staff.
Preparing split bills/ Doctor charges etc.
Handling all TPA Portals.
Outstanding follow-up with TPA.
Monthly Review report.
To obtain and review referrals and authorizations for treatments.
To follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO, etc.
Must be aware of norms of the insurance sector.
Daily follow up with Insurance companies to pass or clear the Health Insurance

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