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TPA @ Fortis

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 TPA

Job Description

Roles and Responsibilities

  • Improvement in overall TAT of preauthorization/ query/ discharge
  • Minimal denials for admission, not justified/ prior information of suspected denials/ Timely information to all the stake holders for denials
  • Audit of all TPA bills before uploading for cashless approvals
  • Required corrections in summary , bill, OT sheets, etc.
  • Regular maintenance of outstanding data/ follow up with TPA for enhancements/ counselling/patient for SI
  • MIS: Maintain and generate process related data as and when required by the HOD
  • Update patients and doctors about status of authorization
  • Uphold basic standards of cleanliness of work place area as well as self-grooming, and demonstrate use of standard phrases and telephone etiquette during all points of customer interface .

Job Classification

Industry: Medical Services / Hospital (Diagnostics)
Functional Area / Department: Healthcare & Life Sciences
Role Category: Health Informatics
Role: TPA Executive
Employement Type: Full time

Contact Details:

Company: Fortis
Location(s): Noida, Gurugram

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Keyskills:   TPA

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Fortis

Fortis Healthcare Limited is a leading integrated healthcare delivery service provider in India. The healthcare verticals of the company primarily comprise hospitals, diagnostics and day care specialty facilities. Currently, the company operates its healthcare delivery services in India, Dubai, Maur...