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3 Acme Healthcenter Pvt Ltd Jobs

Third Party Administrator - Hospital industry - Health Insurance

1-5 years

₹ 2.25 - 3.5L/yr

Mumbai

4 vacancies

Third Party Administrator - Hospital industry - Health Insurance

Acme Healthcenter Pvt Ltd

posted 21d ago

Job Description

An essential role of a TPA is to coordinate between the hospital and insurer for the claim settlement process.

  • Processing claims: Ensuring claims are processed accurately and on time, from admission to discharge
  • Managing TPA activities: Handling claim settlements, reconciliations, and other TPA-related tasks
  • Communicating with stakeholders: Interacting with patients, healthcare providers, and insurance companies to resolve issues
  • Maintaining records: Keeping accurate records of all interactions with stakeholders
  • Providing customer service: Responding to queries from patients and other stakeholders in a timely manner
  • Ensuring compliance: Ensuring compliance with billing and TPA regulations and guidelines
  • Resolving discrepancies: Resolving billing discrepancies and issues promptly
  • Building relationships: Building relationships with TPA companies and associated corporates
  • Performing audits: Performing ongoing audit checks on claim submissions, denials, and clearance.

Experiecne 2 Years To 3 Years


Relevant candidate please contact


Poonam Kadam

MANAGER HR


ACME HOSPITAL PVT. LTD.

MOB. 8608600796




Employment Type: Full Time, Permanent

Read full job description

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Day Shift
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Acme Healthcenter Pvt Ltd Benefits

Free Transport
Child care
Gymnasium
Cafeteria
Work From Home
Free Food +6 more
View more benefits

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