TPA Coordinator - Dr. Kapur's The Healing Touch Eye and Maternity Centre - D-8, Vikas Puri, New Delhi-110018
(2024-05)
Presently Working with M/s Dr. Kapur's The Healing Touch Eye and Maternity Centre as a TPA Coordinator
- CGHS OPD handling Pensioner patient, documents verification, Prepare billing in visual software and upload all CGHS cases in TMS portal
- Patient counselling about of package for TPAs
- Prepare Baby birth certificate of MCD portal in hospital login
- Prepare the MIS Report on a Monthly basis
- Coordinator with TPA and Insurance Company for initial approval and Final approval for Cashless and IPD billing all cases
- Coordinator with TPA and Insurance Company for Hospital Empanelment
- Coordinator to TPA and Insurance Company for payment and cashless approval
- Dispatched to TPA File for payment and resolve TPA query
- Pre-Auth and Final Bill & Discharge share with TPA and Insurance Company by Mail or Hospital TPA Portal
- All TPA check investigation reports and other documents
- Date prepares for pending payment to all TPA and insurance companies
- Coordinator for TPA and insurance company pending payment
- Prepare the All TPA and Insurance Companies surgery Bills
- Query Reply for Initial and Final Approval
- All TPA work from Hospital
TPA Coordinator - MEDFIRST ENT CENTRE - D-3/14, Vasant Vihar, New Delhi-110057
(2021-11 - 2024-04)
Worked with M/s Med First ENT Centre as a TPA Coordinator
- Prepare the MIS Report on a Monthly basis
- Coordinator with TPA and Insurance Company for initial approval and Final approval for Cashless and IPD Billing all cases
- Coordinator with TPA and Insurance Company for Hospital Empanelment
- Coordinator to TPA and Insurance Company for payment and cashless approval
- Dispatched to TPA File for payment and resolve TPA query
- Pre-Auth and Final Bill & Discharge share with TPA and Insurance Company by Mail or Hospital TPA Portal
- All TPA check investigation reports and other documents
- Date prepares for pending payment to all TPA and insurance companies
- Coordinator for TPA and insurance company pending payment
- Prepare the All TPA and Insurance Companies surgery Bills
- Query Reply for Initial and Final Approval
- All TPA work from Hospital
TPA Coordinator - PARAS HOSPITAL VAISHALI GHAZIABAD - Plot No 130, Sector 4, Vaishali, Ghaziabad
(2019-07 - 2020-12)
Worked with M/s Paras Hospital as an TPA Coordinator
- Prepare the MIS Report of Monthly basis
- Coordinator to TPA and Insurance Company for payment and cashless approval
- Dispatched to TPA File for payment and resolve TPA query
- Prepared to discharge summary and resolve query for patient attendants and TPA
- All TPA check investigation reports and other document
- Date prepare for pending payment to all TPA and insurance company
- Coordinator for TPA and insurance company pending payment
Executive (Accounts Dept)–Corporate Health Claim Deptt - M/S IFFCO TOKIO GENERAL INSURANCE CO. - Iffco Tower, Sec.-29, 3rd Floor, Plot No 3, Gurgaon
(2012-01 - 2017-04)
Worked with M/s Iffco Tokio General Insurance Company under contract Saiber Consulting, Hyderabad as an Executive in Accounts Department, Corporate Health Claim Department
- Prepare the MIS Report of Daily, Weekly, Monthly, Yearly basis
- Process the Service Fees to 14 TPAs as pre SLA signed by TPA
- Process the payment of Legal Cases and Advocates Fees
- Booking of Co-Insurance in P400 on basis of SBU's Mail
- Support in In-House Claim Payment Process (Individual & Group) as well as Claim Payment Letter send to Client/Insured
- External Payment Process (Group) of 14 TPA
- Maintaining the Master Data of Daily Payable Payments
- We receive the Data to TPA for process the claim for payment to Hospital or Insured from our Central Accounts Team
- Provide the UTR No & Transferred Date to TPAs day to day along with solve the query of Branches & Client
- Handling the Grievance Cases
Coordinator (Investigation Dept.) Executive - E-MEDITEK TPA LTD
(2010-04 - 2011-12)
Worked with E-Meditek TPA Ltd as a Coordinator in Investigation Department
- Coordinate with our Investigators
- Coordinate with Hospital and Patients for investigation purpose
- Coordinate our branch
- Prepare the MIS Report of Daily, Weekly, Monthly, Yearly basis
MIS Executive - Next Gen Publishing Ltd
(2008-09 - 2010-02)
Worked with Next Gen Publishing Ltd (A joint venture of forbes and HDFC Bank Ltd) as a MIS Executive
- MIS Reporting
- Mapping data of other data
- MIS Type-Agent wise, Product Wise Trigger Wise & Dashboard
- Prepare the MIS Report of Daily, Weekly, Monthly, Yearly basis
MIS Executive - Tata AIG Life Insurance Company Ltd
(2007-03 - 2008-08)
Worked with Tata AIG Life Insurance Company Ltd as a MIS Executive
- Scrutinizing and Filling of new business application
- Handing to agency channel
- MIS Type-Agent wise, Product Wise Trigger Wise & Dashboard
- Prepare the MIS Report of Daily, Weekly, Monthly, Yearly basis
- Handling Un-delivered Document
- Cash & Cheque Entry in system
