Receptionist + TPA Executive

Key Responsibilities:
Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines.
Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies.
Pre-Authorization: Counsel patients' families on pre-authorization processes and handle all related procedures, including billing and coordination with TPA companies.
Documentation: Maintain accurate records of all TPA-related activities, ensuring compliance with regulatory standards.

Qualifications
EXPERTIA.AI Bachelor's degree in Healthcare Administration, Insurance, or a related field.Experience: At least 1 year in TPA or healthcare insurance sectors, with experience in claims processing and billing.
Skills: Strong communication, interpersonal skills, attention to detail, and proficiency in relevant software applications.