Key Responsibilities :
Should be good knowledge of TPA billing
Collect and verifies the TPA card, Photo ID card or insurance policy at the time of admission while the patient starts receiving necessary medical treatment.
Apply for cashless treatment to the concern TPA before admission.
Assist the patient/family members to fill the pre-authorization form and necessary consent forms
Forwards the completed forms to the concerned TPA by mail within 24 hours of hospitalization of the patient
Actively responds any query / additional information asked by the concerned TPA regarding the treatment of the patient
Follow-up with the concerned TPA for the authorization letter and duly informs the patient/family members
In case of issuance of a denial letter, ensures that the patient/family members settle the entire bill amount by cash payment
Desired Candidate Profile:
A Graduate with proven experience in TPA/Insurance or jobs in hospital administration
Good interpersonal / Communication skills in the hospital industry.