2 Opening(s)
2.0 Year(s) To 8.0 Year(s)
1.80 LPA TO 4.20 LPA
A Hospital TPA (Third-Party Administrator) Incharge manages the entire health insurance and cashless claim process, acting as a crucial liaison between patients, insurance companies, and the hospital. Key duties include verifying insurance eligibility, handling authorization, processing claims, and resolving disputes to ensure timely financial reimbursements and improve patient satisfaction.
BusinessKey Responsibilities and ...
2 Opening(s)
2.0 Year(s) To 5.0 Year(s)
1.20 LPA TO 2.40 LPA
An Ayushman Bharat Incharge (often referred to as an Ayushman Coordinator or Manager) in a hospital manages the end-to-end operationalization of the PM-JAY scheme. Key responsibilities include beneficiary verification, handling pre-authorizations, managing claims on the Transaction Management System (TMS), and ensuring timely billing to reduce claim rejection rates.
Key Job Description and Responsibilities:
Transaction ...
2 Opening(s)
1.0 Year(s) To 5.0 Year(s)
Not Disclosed by Recruiter
Key Responsibilities:
Review and process incoming medical/health insurance claim investigation requests.
Understand prescriptions, medical bills, diagnosis reports, and hospital records.
Coordinate with field investigators for case updates, doctor verifications, and report follow-ups.
Analyze investigation inputs and draft structured final reports for clients.
Ensure accuracy in medical terminology and pharma-related data entry.
Maintain updated records of claim ...