TPA Manager

Role 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 all...

Role & responsibilitiesCoordinate with patients, TPAs, and insurance companies for pre-authorization, approval, and final claim settlements.Prepare and submit claim documents and bills to TPAs/insurance companies in the prescribed format.Follow up regularly with TPAs for claim status, pending queries, and settlement updates.Verify patient insurance details,...

Role & responsibilitiesHandle claim submission, follow-up, and settlement with TPAs and government panels.Track outstanding payments and prepare periodic reconciliation reports.Coordinate with TPAs, insurance companies, and internal departments for claim clarifications.Maintain records of claims, payments, and rejections in both Excel and Tally.Post...

Job Title: Medical Officer – TPA Claim ProcessDepartment: TPA / Health Insurance DeskLocation: 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...

KR Business Solutions (KR) is a prominent management consulting service provider that offers "requirement-based" services to hospitals and healthcare organizations throughout India. We offer empanelment consulting, quality accreditations (NABH/NABL/ISO), cashless/reimbursement claim settlement, and hospital planning and development. We have been established...

Job Description Contact Mr Nishant Chaudhary WhatsApp 91050 24073 Industry & Sector: Private healthcare Ophthalmology / Eye Care hospital operating in Gurgaon (Sector 49). We provide clinical and surgical eye-care services, outpatient and inpatient workflows, and manage insured patient volumes through hospital-TPA partnerships. Primary Job Title: TPA...

Role Overview The Billing Manager will oversee the hospital’s billing operations to ensure accurate, timely, and compliant billing for all patients—cash, insurance, and TPA. The role requires strong analytical skills, leadership, and attention to financial accuracy.Key ResponsibilitiesSupervise inpatient and outpatient billing operations.Ensure accuracy...

Role Overview The Billing Manager will oversee the hospital’s billing operations to ensure accurate, timely, and compliant billing for all patients—cash, insurance, and TPA. The role requires strong analytical skills, leadership, and attention to financial accuracy.Key ResponsibilitiesSupervise inpatient and outpatient billing operations.Ensure accuracy...

Role Overview The Billing Manager will oversee the hospital’s billing operations to ensure accurate, timely, and compliant billing for all patients—cash, insurance, and TPA. The role requires strong analytical skills, leadership, and attention to financial accuracy.Key ResponsibilitiesSupervise inpatient and outpatient billing operations.Ensure accuracy...

Role Overview The Billing Manager will oversee the hospital’s billing operations to ensure accurate, timely, and compliant billing for all patients—cash, insurance, and TPA. The role requires strong analytical skills, leadership, and attention to financial accuracy.Key ResponsibilitiesSupervise inpatient and outpatient billing operations.Ensure...