TPA Executive

Position: TPA Executive & Patient Relations Coordinator

• Location: Bhiwandi,Thane MH

• Key Responsibilities:

• Management:
• Liaise with various TPAs and insurance companies for pre-authorization, claims processing, and billing.

Ensure accurate and timely submission of insurance claims.

• Track and follow up on pending claims and resolve issues related to denials or rejections.

Maintain up-to-date records of TPA agreements, tariffs, and policies.

• Provide regular reports on claim status, reimbursements, and outstanding amounts.

• Patient Relations:
• Act as the primary point of contact for patients regarding insurance and billing inquiries.

Assist patients in understanding their insurance coverage and benefits.

• Address and resolve patient complaints, grievances, and concerns in a timely and empathetic manner.

Collect patient feedback to improve service delivery and patient satisfaction.

• Coordinate with various hospital departments to ensure a seamless patient experience.

• Administrative Duties:
• Maintain accurate patient and insurance records in the hospital information system.

Coordinate with the finance and billing departments to ensure accurate invoicing and payment reconciliation.

• Prepare and present reports on patient feedback, complaint resolution, and TPA interactions.

Stay updated on industry regulations, compliance requirements, and best practices in patient relations and TPA management.

• Customer Service Excellence:
• Promote a patient-centric culture within the hospital.

Train and support staff in handling patient inquiries and issues related to insurance and billing.

• Implement strategies to enhance the overall patient experience.

• Qualifications

: Bachelor's degree in Healthcare Administration, Business, or a related field.

• Experience in TPA management, healthcare insurance, or a similar role.

Strong understanding of health insurance policies and medical billing procedures.

• Excellent communication and interpersonal skills.

Ability to handle sensitive and confidential information with professionalism.

• Proficiency in using hospital management software and MS Office Suite.

• Personal Attributes:

Strong problem-solving skills and attention to detail.

• Empathetic and patient-focused approach.

Ability to work independently and as part of a team.

• High level of integrity and ethical conduct.

Job Types: Full-time, Permanent

Pay: 11,947.38 - 20,376.18 per month

Jadwal:

• Day shift

Fixed shift
Tunjangan:

• Paid sick time

Paid time off
Upah Tambahan:

• Yearly bonus

Experience:

• total work: 1 year (Required)

Work Location: In person