Tpa Liaison

_**Job Description **_
- Handling TPA related all process from billing to co-ordinate with TPA companies.
- Responsible for counseling patient's family & pre-Auth process.
- Maintaining & uploading patient's files on the portal.
- Couriering the hard copy of patient's medical file to the Insurance companies.
- Responsible for all co-ordination activities from patient's admission to discharge.
- Handling billing Department, Implants bill updating & reconciliation.
- Daily co-ordination with the patient and Hospital staff.
- Preparing split bills/ Doctor charges etc.
- Handling all TPA Portals.
- Outstanding follow-up with TPA.
- Monthly Review report.
- To obtain and review referrals and authorizations for treatments.
- To follow and adhere to all regulations and guidelines set by state programs.
- Must be aware of norms of the insurance sector.
- Daily follow up with Insurance companies to pass or clear the Health Insurance claims.

**Job Types**: Full-time, Permanent

**Salary**: RM4,500.00 - RM6,500.00 per month

**Benefits**:

- Health insurance
- Opportunities for promotion
- Professional development

Schedule:

- Monday to Friday
- Weekend jobs

**Experience**:

- Third Party Administrator (TPA): 2 years (preferred)