Qureos Mentor

Swastik Hospital, Sector 62 Gurugram Haryana

TPA Coordinator acts as a bridge between the hospital, insurance companies, and patients, handling all matters related to cashless insurance claims, pre-authorizations, and reimbursements. They ensure smooth processing of documents and compliance with TPA policies for both insured patients and the hospital.Key Roles &amp; ResponsibilitiesInsurance Processing<ul><li>Facilitate pre-authorization for cashless treatments by submitting medical documents to TPAs.</li><li>Track approval status and communicate decisions to patients and billing team.</li><li>Handle reimbursement cases by preparing and submitting proper documentation to insurance companies.</li></ul>Documentation &amp; Coordination<ul><li>Collect and verify required documents from patients (ID proof, insurance card, policy documents, etc.).</li><li>Coordinate with doctors and departments to get accurate treatment details and discharge summaries.</li><li>Submit final bills and medical records to TPA for settlement.</li></ul>Patient Interaction<ul><li>Explain the insurance claim process to patients and their families.</li><li>Help patients choose eligible insurance packages or inform them about exclusions.</li><li>Handle patient queries or grievances related to insurance.</li></ul>Billing &amp; Claims Follow-Up<ul><li>Work closely with the billing department to prepare and finalize claims.</li><li>Follow up with TPA for pending or rejected claims.</li><li>Maintain records of all claims filed, approvals, rejections, and payments received.</li></ul>Compliance &amp; Audit<ul><li>Ensure compliance with IRDAI (Insurance Regulatory and Development Authority of India) and hospital policies.</li><li>Prepare reports for hospital management or audits as needed.</li></ul>Skills Required<ul><li>Knowledge of medical insurance processes</li><li>Familiarity with hospital billing software (e.g., MediAssist, MedNet, FHPL, HealthIndia)</li><li>Good communication and interpersonal skills</li><li>Attention to detail in documentation</li><li>Ability to handle pressure and coordinate across departments</li><li>Basic medical terminology (useful when handling diagnosis/procedures)</li></ul>Qualification<ul><li>Minimum: Graduate (any stream, preferably B.Com, BBA, or BA)</li><li>Preferred: Diploma or certification in Hospital Administration, TPA, or Medical Billing</li><li>Basic computer and typing skills are essential</li><li>Previous experience in hospital front office or billing is a plus</li></ul>Typical Work Environment<ul><li>Hospital Front Office / Insurance Desk</li></ul>Job Types: Full-time, PermanentPay: From &#8377;20,000.00 per monthWork Location: In person

TPA Co-ordinator

<ul><li>Collect blood, urine, stool, sputum, and tissue samples</li><li>Ensure proper labeling and storage of samples</li><li>Perform routine tests (blood counts, urinalysis, cultures, etc.)</li><li>Use laboratory instruments like microscopes, centrifuges, hematology analyzers, etc.</li><li>Operate and calibrate lab equipment</li><li>Ensure instruments are cleaned, sterilized, and maintained properly</li><li>Analyze results and prepare reports</li><li>Assist pathologists or doctors in diagnostic procedures</li><li>Maintain hygiene and safety standards</li><li>Follow proper procedures to avoid contamination or errors</li><li>Enter results into hospital/lab information systems</li><li>Maintain logs and inventory</li></ul>Job Types: Full-time, PermanentPay: From &#8377;20,000.00 per monthWork Location: In person

Lab Technician

*A Senior ANM in the Gynecology Department plays a critical role in supporting obstetricians and gynecologists by providing maternal and newborn care, assisting during deliveries, monitoring pregnant women, and educating patients on reproductive health. As a senior staff member, this role also includes supervising junior ANMs or nursing aides and maintaining departmental procedures and hygiene.Key Roles &amp; ResponsibilitiesMaternal &amp; Neonatal Care<ul><li>Monitor vital signs and general condition of antenatal and postnatal mothers.</li><li>Assist in normal deliveries, episiotomies, and immediate newborn care.</li><li>Identify and report high-risk pregnancies or complications.</li><li>Provide postnatal care to mothers and newborns.</li></ul>Clinical Support in Gynae Procedures<ul><li>Prepare patients for gynecological surgeries and minor OT procedures (e.g., D&amp;C, IUI, hysteroscopy).</li><li>Assist gynecologists during procedures and examinations.</li><li>Ensure availability and sterilization of instruments.</li></ul>Infection Control &amp; Hygiene<ul><li>Maintain aseptic techniques in the labor room, OT, and wards.</li><li>Adhere to infection control protocols.</li><li>Ensure proper disposal of biomedical waste.</li></ul>Patient Education &amp; Counseling<ul><li>Educate women on:</li><li>Antenatal care (ANC)</li><li>Nutrition during pregnancy</li><li>Breastfeeding and newborn care</li><li>Menstrual hygiene and family planning</li><li>Promote institutional deliveries and immunization programs.</li></ul>Documentation &amp; Reporting<ul><li>Maintain delivery registers, patient case sheets, and vital records.</li><li>Report complications or maternal mortality cases to the Medical Officer or Matron.</li><li>Update immunization and health education charts.</li></ul>Supervisory Responsibilities<ul><li>Guide and monitor junior ANMs or helpers.</li><li>Coordinate with doctors, staff nurses, and lab technicians.</li><li>Assist in scheduling shifts and workload distribution in the gynae unit.</li></ul>Key Skills Required<ul><li>Obstetric and neonatal care knowledge</li><li>Emergency response (e.g., PPH, eclampsia, neonatal resuscitation)</li><li>Compassion and communication with pregnant women and families</li><li>Record-keeping and reporting</li><li>Team leadership and mentoring of junior staff</li></ul>Qualification &amp; Licensing<ul><li>ANM Diploma (2 years) &ndash; from INC-recognized institute</li><li>Registered with State Nursing Council</li><li>Minimum 3&ndash;5 years of experience in labor room/gynae ward</li><li>Preferably trained in Skilled Birth Attendant (SBA) or midwifery upgrade programs</li></ul>Work Environment<ul><li>Gynae &amp; Obstetrics Ward</li><li>Labor Room</li><li>Antenatal Clinic (ANC)</li><li>Postnatal Ward</li></ul>Job Types: Full-time, PermanentPay: From &#8377;20,000.00 per monthWork Location: In person

ANM Nurse

Join Swastik Hospital, Sector 62 Gurugram Haryana and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Swastik Hospital, Sector 62 Gurugram Haryana

ABOUT_COMPANY

TPA Co-ordinator

Lab Technician

ANM Nurse