TPA Liaison - with Great Benefits

TPA Liaison

• Handling TPA related all process from billing to co-ordinate with TPA companies.
• Responsible for counseling patient's family & pre-Auth process.
• Maintaining & uploading patient's files on the portal.
• Couriering the hard copy of patient's medical file to the Insurance companies.
• Responsible for all co-ordination activities from patient's admission to discharge.
• Handling billing Department, Implants bill updating & reconciliation.
• Daily co-ordination with the patient and Hospital staff.
• Preparing split bills/ Doctor charges etc.
• Handling all TPA Portals.
• Outstanding follow-up with TPA.
• Monthly Review report.
• To obtain and review referrals and authorizations for treatments.
• To follow and adhere to all regulations and guidelines set by state programs.
• Must be aware of norms of the insurance sector.
• Daily follow up with Insurance companies to pass or clear the Health Insurance claims.

Job Selection Criteria

Qualifications

• Degree in related field
• Computer literate in Microsoft Word, Microsoft Excel and Power Point
• Experience in Healthcare industry will be an added advantage
• Possess excellence leadership skills and the ability to inspire team members
• Excellence interpersonal skill and communication skills
• Possess own transport and willing to travel
• Good Communication skills
• Pleasant personality
• Team player