TPA Manager

ASG Eye Hospital LTD.; Kamrup Metropolitan; On-site; INR 600,000 - 900,000; Full time

Job summary

ASG Eye Hospital LTD. is seeking an experienced professional to manage medical claims processing, ensuring timely settlements within budget.

You will coordinate with healthcare providers, insurers and patients to resolve claim-related issues and improve efficiency.

The role requires strong knowledge of medical insurance policies and excellent communication to align stakeholders.

Qualifications

• 5-10 years of experience in a similar role or related field (TPA).
• Strong knowledge of medical insurance policies, regulations, and procedures.
• Excellent communication skills for effective coordination with various stakeholders.
• Proficiency in managing multiple tasks simultaneously while meeting deadlines.

Responsibilities

• Manage medical claims processing, ensuring timely settlement of claims within budgeted amounts.
• Coordinate with healthcare providers, insurers, and patients to resolve claim-related issues.
• Develop and maintain relationships with key stakeholders to improve operational efficiency and reduce costs.
• Analyze data to identify trends and areas for improvement in the TPA's operations.

Skills

Medical claims processing

Stakeholder coordination

Data analysis

Budget management

Job description

Roles and Responsibilities :

• Manage medical claims processing, ensuring timely settlement of claims within budgeted amounts.


• Coordinate with healthcare providers, insurers, and patients to resolve claim-related issues.


• Develop and maintain relationships with key stakeholders to improve operational efficiency and reduce costs.


• Analyze data to identify trends and areas for improvement in the TPA's operations.

Job Requirements :

• 5-10 years of experience in a similar role or related field (TPA).


• Strong knowledge of medical insurance policies, regulations, and procedures.


• Excellent communication skills for effective coordination with various stakeholders.


• Proficiency in managing multiple tasks simultaneously while meeting deadlines.