TPA Manager
2 days ago
Role Overview The TPA Manager will be responsible for overseeing all operations related to private insurance, TPAs, and government health schemes includingBhamashah Swasthya Bima Yojana (BSBY)andAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) . The role ensures smooth cashless and reimbursement processes, timely approvals, and compliance with all scheme guidelines.Key Responsibilities Manage and coordinate with TPAs and insurance providers for cashless and reimbursement claims. Handle all processes underBSBYandPMJAY , ensuring compliance and efficient claim settlements. Ensure timely pre-authorization, approvals, and discharges for insured and scheme patients. Guide patients and families about insurance/TPA/BSBY/PMJAY eligibility, documentation, and claim processes. Maintain accurate records, MIS reports, and documentation for audits and scheme compliance. Coordinate with billing, admissions, accounts, and medical teams for seamless claim management. Monitor and review TPA and government scheme agreements, policies, and guidelines. Track claim trends, identify gaps, and recommend improvements to reduce denials. Build and maintain strong relationships with TPAs, insurance companies, and government scheme authorities.Qualifications & Skills Bachelor’s degree in Healthcare Management, Business Administration, or a related field. 3–5 years of experience in hospital TPA/insurance management. Strong understanding ofhealth insurance, BSBY, and PMJAY processes . Excellent communication, negotiation, and stakeholder management skills. Ability to lead a team and coordinate across hospital departments. Proficiency in hospital information systems and MS Office tools.What We Offer Opportunity to work with one of Rajasthan’s top multi-specialty hospitals. A role with direct impact on patient satisfaction and healthcare accessibility. Growth-driven environment with career advancement opportunities.
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Medical Officer – TPA Claim Process
4 days ago
New Delhi, India Nucleon Health Full timeJob Title: Medical Officer – TPA Claim ProcessDepartment: TPA / Health Insurance DeskLocation: VadodaraReporting To: TPA Manager / Operations HeadJob Summary:The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination between...
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Medical Officer – TPA Claim Process
9 hours ago
New Delhi, India Nucleon Health Full timeJob Title:Medical Officer – TPA Claim ProcessDepartment:TPA / Health Insurance Desk Location:Vadodara Reporting To:TPA Manager / Operations HeadJob Summary:The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination between...
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[Urgent Search] TPA Manager
4 weeks ago
Delhi, India NIMS University Full timeRole Overview The TPA Manager will be responsible for overseeing all operations related to private insurance, TPAs, and government health schemes including Bhamashah Swasthya Bima Yojana (BSBY) and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) . The role ensures smooth cashless and reimbursement processes, timely approvals, and compliance with...
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Tpa Executive
1 week ago
Delhi, Delhi, India EEPIC Digital Full time**Job Title**: TPA Executive **Location**: Pitampura New Delhi - 34 **Salary**: ₹25,000 per month **Experience Required**: 2-3 Years **Key Responsibilities**: - Manage and process health insurance claims through TPAs. - Coordinate with patients, insurance providers, and hospital billing departments for smooth claim settlements. - Ensure accuracy and...
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Require for Tpa Department
2 weeks ago
Delhi, Delhi, India Park Hospital Full timeRequire for TPA Department Head - TPA **Min. 15 Years Exp.** Senior Manager - TPA **Min. 10 Years Exp.** Manager - TPA **Min. 5 Years Exp.** **Highest Salary in Industry. **Walk-in Interview on Sunday, 30th July, From 8:30 AM - 2:00 PM Venue: PARK HOSPITAL, SECTOR 47, SOHNA ROAD GURUGRAM
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TPA Executive
2 weeks ago
Delhi, Delhi, India EEPIC Digital Full time ₹ 25,000 - ₹ 24,32,500 per yearJob Title: TPA ExecutiveLocation: Pitampura New Delhi- 34Salary: ₹25,000 per monthExperience Required: 2–3 YearsJob Description:We are looking for a TPA Executive with 2–3 years of relevant experience in handling insurance and claims processes. The ideal candidate should have sound knowledge of Third Party Administrators (TPA), claim documentation, and...
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Tpa Executive
1 week ago
Delhi, India Sri Vaidya Hospital Full timeUrgent Hiring for TPA Executive. Job Description is as follows: - Manage the entire operation of Front Office which includes Admission, help desk, Billing & TPA department. - Development and continuous process of revision of guidelines of Front Office, Registration, Billing, admissions, TPA and other activities. - Manage Insurance cashless pre-authorization...
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New Delhi, India Vidal Health Full timeWe are Hiring for experienced TPA Medical Officer/Managers/Asst manager/TL **i. Medical Officer Job Description and Job Role**: 1. Involved in Analyzing Reports in Process Medical claims 2. Final approvals for medical claims 3. Should have good medical knowledge 4. Eagerness to learn and implement new medical aspects/medical scenarios 5. Providing the...
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Senior Executive TPA
2 weeks ago
Delhi, NCR, India AIG Business Solution Full time ₹ 9,00,000 - ₹ 12,00,000 per yearJob Title: Senior Executive TPA & RecoveryLocation: DwarkaDepartment: Billing / Finance / TPAReporting To: Manager Billing & TPA / Finance HeadExperience Required: 3–6 years in hospital TPA billing, claim submission, and recoveryQualification: Graduate or Postgraduate (Preferably in Commerce, Hospital Administration, or Healthcare Management)Job SummaryThe...
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Delhi, Delhi, India Centre For Sight Full time ₹ 5,00,000 - ₹ 15,00,000 per yearRole Overview:The Insurance Relationship Manager acts as the primary liaison between the hospital and health insurance stakeholders, including Third-Party Administrators (TPAs), insurance companies, and corporate clients. The role ensures seamless facilitation of pre-authorizations, cashless claims, patient counseling on insurance coverage, and timely claim...
