Sr. Executive

The Sr. Executive will oversee end-to-end coordination of insurance and TPA-related activities, including patient approvals, billing, and claim processing. The requires strong coordination skills and knowledge of healthcare insurance processes to ensure timely and accurate service delivery.

Roles and Responsibilities:

• Manage TPA and insurance coordination for cashless and reimbursement cases.
• Handle pre-authorization, approvals, and claim documentation processes.
• Ensure accurate billing and timely submission of claims to TPAs.
• Coordinate with patients, insurance companies, and internal departments.
• Resolve queries, discrepancies, and claim-related issues efficiently.
• Maintain proper records and documentation for all TPA transactions.
• Monitor outstanding claims and follow up for timely settlements.