Job Description

Job Title: Cashless Executive
Department: TPA
Location: Ahmedabad
Experience Required: 2–5 years (TPA/Healthcare Industry preferred)
Job Summary
The Cashless Executive is responsible for handling cashless hospitalization processes, coordinating with TPAs and insurance companies, processing pre-authorizations, and ensuring timely approvals and settlements while maintaining accuracy and compliance with hospital and insurer guidelines.
Key Responsibilities
- Coordinate with patients, doctors, and billing departments for cashless admission procedures
- Process and submit pre-authorization requests to TPAs/Insurance companies
- Follow up for approvals, queries, and enhancements from TPAs/Insurers
- Verify patient insurance details, policy coverage, and eligibility
- Maintain accurate documentation for cashless cases
- Handle denials, rejections, and justifications with supporting medical records
- Assist in final bill preparation and submission for cas...

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