TPA Coordinator

• Handle cashless admission requests for insured patients
• Verify patient insurance details, policy coverage, and eligibility
• Submit pre-authorization requests to TPAs/insurance companies
• Follow up regularly to obtain timely approvals
• Collect and prepare required documents (ID proof, insurance card, medical records, estimates, discharge summaries)
• Ensure accuracy and completeness of documents before submission
• Coordinate final bill approval and claim settlement
• Track claim status and resolve discrepancies or rejections
• Act as the single point of contact between hospital and TPAs/insurance companies
• Maintain strong working relationships with insurance representatives
• Stay updated on policy changes and TPA requirements
• Guide patients and attendants regarding cashless procedures and documentation
• Coordinate with doctors, nursing staff, billing, and admission desks
• Communicate approval status, shortfalls, and exclusions clearly to patients
• Maintain records of cashless cases, approvals, and settlements
• Ensure compliance with hospital policies and insurance guidelines
• Prepare daily/monthly cashless case reports

Job Type: Full-time

Pay: ₹22,000.00 - ₹35,000.00 per month

Benefits:

• Leave encashment
• Provident Fund

Education:

• Bachelor's (Preferred)

Experience:

• TPA executive: 1 year (Preferred)

Work Location: In person