TPA Executive (2-3 Yrs) - Chennai

Innovaccer Inc.
Applicants0
Posted16 days ago

Job Highlights

Experience2 - 3 Yrs
Salary5-10 LPA
LocationChennai
Work ModelOnsite
RoleTPA Executive
Openings2
EmploymentInternship
EducationB.Pharma

Required Skills

B.Pharma DegreeClaims ProcessingThird-Party Administrator (TPA) OperationsInsurance Policy UnderstandingData Entry and ManagementAttention to DetailCommunication SkillsProblem-SolvingAnalytical SkillsMicrosoft Office Suite (Excel, Word, Outlook)Healthcare Regulations KnowledgeTeam Collaboration

Job Description

Role Summary: We are seeking a dedicated and detail-oriented TPA Executive with 2-3 years of experience to join our growing team in Chennai. The TPA Executive will play a crucial role in managing and processing Third-Party Administrator (TPA) related claims and operations, ensuring efficiency and compliance. This role requires a strong understanding of pharmaceutical processes and data handling, making a B.Pharma degree highly valuable.

Key Responsibilities:

Process and manage all Third-Party Administrator (TPA) related claims and reimbursements accurately and efficiently.

Liaise with TPAs, insurance providers, and healthcare facilities to resolve claim-related issues and discrepancies.

Verify eligibility, policy coverage, and documentation for all claim submissions.

Maintain accurate and up-to-date records of all TPA transactions and communications.

Ensure compliance with all relevant regulations, policies, and procedures related to TPA operations.

Assist in the preparation of reports and analyses related to TPA performance and claims processing.

Provide support to internal teams and external stakeholders on TPA-related queries.

About Innovaccer Inc.

Innovaccer Inc. is a leading HealthTech company that has been at the forefront of digital transformation in the healthcare industry. Founded in 2012, the company is headquartered in the US with a significant presence and operations in India, including large R&D and delivery centers. Innovaccer is dedicated to leveraging data analytics, AI, and cloud-based solutions to enable healthcare organizations to deliver better care, at a lower cost, and with improved patient outcomes. They work with a wide range of clients, from small clinics to large hospital systems and payers, helping them navigate complex healthcare challenges.

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