Insurance/TPA Coordinator

Job Summary:

Altor Hospitals is seeking detail-oriented and efficient Insurance Coordinators to manage all aspects of health insurance processes including pre-authorizations, claim submissions, and TPA communications. The ideal candidate will ensure timely and accurate processing of insurance-related matters, supporting both patients and internal departments.

Key Responsibilities:

• Handle pre-authorization requests and approvals for inpatient and day-care procedures from insurance companies/TPAs.
• Ensure accurate and complete documentation for insurance claims as per the policy requirements.
• Coordinate with patients, consultants, and TPA representatives for documentation, clarifications, and follow-ups.
• Submit claims (manual and electronic) in a timely manner and track claim status.
• Address claim queries, rejections, and discrepancies; ensure prompt resubmission or corrections as needed.
• Verify insurance eligibility and benefits for patients at the time of admission.
• Liaise with billing, admissions, and discharge teams to ensure smooth insurance processing.
• Maintain updated knowledge of various insurance policies, packages, and TPA protocols.
• Generate daily reports on pending approvals, submitted claims, and settled claims.
• Ensure compliance with hospital policies, patient confidentiality, and insurance standards.

Qualifications & Skills:

• Graduate in any discipline (preferred: Healthcare Administration, Commerce, or Insurance).
• 1–3 years of experience in a hospital insurance/TPA coordination role.
• Strong understanding of health insurance policies, TPA procedures, and claim processing.
• Good communication skills in English, Hindi, and local language.
• Attention to detail, analytical ability, and customer service mindset.
• Proficient in MS Office and Hospital Management Systems (HMS).

Work Schedule:

• Regular day shifts with extended hours or weekend duties as required by the billing cycle.

Why Join Altor Hospitals:

• Be part of a committed team focused on delivering smooth and transparent patient financial services.
• Work in a well-structured hospital environment with advanced digital systems.
• Opportunities for professional growth in healthcare finance and insurance operations.

Job Types: Full-time, Permanent, Fresher

Pay: ₹18,532.86 - ₹32,428.78 per month

Benefits:

• Health insurance
• Paid sick time
• Paid time off
• Provident Fund

Work Location: In person