Verified Job
Lab Technician / Pharmacist
Cashless Manager- job post Narayan Medical College & hospital Sasaram, Bihar
Lab Technician / Pharmacist
#813724
Remote / WFH
Narayan Medical College & hospital Sasaram, Bihar
Job Description
Full job description
Key Responsibilities
Operations Oversight: Manage the cashless desk, insurance desks, and medical billing operations for all empanelled TPAs, corporate schemes, and government health packages.
Pre-Authorization & Approvals: Oversee timely submission of pre-authorization forms, initial estimates, enhancement requests, and final discharge approvals.
Denial & Query Management: Handle claim queries, short payments, rejections, or denials from insurers by coordinating with clinical and medical record teams.
Liaison & Networking: Build and maintain professional relationships with insurance companies, TPAs, and corporate houses.
Compliance & Auditing: Ensure complete alignment with hospital pricing policies, package rates, regulatory standards, and individual insurance contract terms.
Team Leadership: Train, mentor, and supervise TPA executives, billing staff, and front-desk helpers to ensure patient satisfaction and low turnaround times.
Qualification
Education: Bachelor’s degree in Business Administration, Healthcare, Management, or a related field.
Experience: 2 to 5+ years of experience.
Key Responsibilities
Operations Oversight: Manage the cashless desk, insurance desks, and medical billing operations for all empanelled TPAs, corporate schemes, and government health packages.
Pre-Authorization & Approvals: Oversee timely submission of pre-authorization forms, initial estimates, enhancement requests, and final discharge approvals.
Denial & Query Management: Handle claim queries, short payments, rejections, or denials from insurers by coordinating with clinical and medical record teams.
Liaison & Networking: Build and maintain professional relationships with insurance companies, TPAs, and corporate houses.
Compliance & Auditing: Ensure complete alignment with hospital pricing policies, package rates, regulatory standards, and individual insurance contract terms.
Team Leadership: Train, mentor, and supervise TPA executives, billing staff, and front-desk helpers to ensure patient satisfaction and low turnaround times.
Qualification
Education: Bachelor’s degree in Business Administration, Healthcare, Management, or a related field.
Experience: 2 to 5+ years of experience.
