Experience

The Royal Orthopaedics and Sports Injury Center

• India
• Hospitals and Health Care
• 1 - 100 Employee

• Marketing Executive and TPA Cordinator

  • Dec 2017 - Present

  TPA stands for Third Party Administrator. It is an intermediary company between an insured and insurer. It provides a supporting role to the insurer in terms of claim settlement. This body obtains a license from IRDA in order to function in the insurance industry. The third party administrator knows all the aspects of health insurance. The crucial role of any TPA is to approve the claim on the basis of knowledge of coverage and exclusion. Handling OPD, IPD billing TPA, Corporate and Private patient billing, Pre-authorization and discharge procedure of TPA & Corporate patient Co-ordinate with the IP billing staff on the Cashless & Reimbursement processing Reconcile & Ensure all outstanding bills cleared, Follow up on Short Payment & clearance of it, Handle all queries & Educate on proper claim process by TPA Staffs. Development and execution of MOU with TPA and insurance companies Day to Day pharmaceutical Operation Helping Marketing Manager for Organising Camps , CME's , Conferences, workshop and Healthtalk Show less