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· All the procedure will be look after from the time of admission to discharge
· Help the policy holders, in getting cashless approval from TPA’s / Corporate
· Emergency/ Planned / On admission – the relevant information to be collected from patient/patient attendant
· To fill the Pre-auth request forms. Correspondence with the TPA regarding pre-auth and authorization of the particular patient,
· Coordinating /giving Information TPA/Co’s (online / offline) and relevant document, Coordination with doctors regarding query.
· Receiving the AL (Approval letter) from TPA information given to respective authorized person regarding approval amount and remarks.
· Coordinating with billing department regarding approval letter and handover to concerned dept. (billing section) and receiving relevant document (signature) in the insurance record book.
· Co-ordinate with respective dept. (billing, nursing, etc.) and send enhancement to TPA’s Follow-up for further authorization amount.
· Follow-up with concern TPA’s and find out they received our relevant document.
· To ensure to give updated to Patient/ Patients Attender about the Final Update (Approval / Denial )received from the insurance during the time of discharge and make sure to Collect the Balance amount from them.
Job Type: Full-time
Pay: ₹350,000.00 - ₹500,000.00 per year
Experience:
Work Location: In person
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