Qureos Mentor

LMH healthcare services Private Limited

<ul><li>Handle cashless admission requests for insured patients</li><li>Verify patient insurance details, policy coverage, and eligibility</li><li>Submit pre-authorization requests to TPAs/insurance companies</li><li>Follow up regularly to obtain timely approvals</li><li>Collect and prepare required documents (ID proof, insurance card, medical records, estimates, discharge summaries)</li><li>Ensure accuracy and completeness of documents before submission</li><li>Coordinate final bill approval and claim settlement</li><li>Track claim status and resolve discrepancies or rejections</li><li>Act as the single point of contact between hospital and TPAs/insurance companies</li><li>Maintain strong working relationships with insurance representatives</li><li>Stay updated on policy changes and TPA requirements</li><li>Guide patients and attendants regarding cashless procedures and documentation</li><li>Coordinate with doctors, nursing staff, billing, and admission desks</li><li>Communicate approval status, shortfalls, and exclusions clearly to patients</li><li>Maintain records of cashless cases, approvals, and settlements</li><li>Ensure compliance with hospital policies and insurance guidelines</li><li>Prepare daily/monthly cashless case reports</li></ul>Job Type: Full-timePay: ₹22,000.00 - ₹35,000.00 per monthBenefits:<ul><li>Leave encashment</li><li>Provident Fund</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>TPA executive: 1 year (Preferred)</li></ul>Work Location: In person

TPA Coordinator

Join LMH healthcare services Private Limited and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

LMH healthcare services Private Limited

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TPA Coordinator