Responsibilities
Manage relationships with third-party administrators and oversee accurate, timely claims submission, approval, and payment processes. Coordinate with patients, providers, billing teams, and insurers to resolve issues, monitor performance, support staff, and ensure regulatory compliance.
Requirements
A bachelor’s degree in Healthcare Administration, Business Administration, or a related field is preferred, along with previous TPA management or similar healthcare experience. Candidates should have knowledge of medical billing and coding, healthcare regulations, and TPA processes, as well as strong communication, analytical, organizational, and problem-solving skills.
