Need a TPA person for Multi-speciality hospital
5 days ago
Job Description Contact Mr Nishant Chaudhary WhatsApp 91050 24073 Industry & Sector: Healthcare Multi-speciality hospital delivering inpatient and outpatient clinical services, surgical care and allied diagnostics in the Pune (Talegaon) region. This on-site role supports hospital revenue-cycle operations and insurer/TPA relationships to ensure seamless patient admission and claim settlement. Primary job title: TPA Coordinator About The Opportunity We are hiring an experienced TPA Coordinator to join a multi-speciality hospital in Talegaon, Pune (Maharashtra). The role is fully on-site and focuses on managing third-party administrator (TPA) interactions, processing cashless and reimbursement claims, and ensuring timely claim settlements while maintaining clinical and billing compliance. Role & Responsibilities - Act as the primary liaison with TPAs and insurance providers for cashless admissions, pre-authorisations and claim settlements. - Verify patient insurance coverage, validate documentation and complete pre-authorization workflows within TPA portals. - Coordinate with clinical teams and billing department to compile claim dossiers, submit final bills and follow up for settlement. - Manage claim follow-ups, chase outstanding payments, and resolve discrepancies or denials with evidence-based appeals. - Maintain accurate records of authorisations, claim statuses and communications; escalate unresolved cases to management. - Support process improvements for faster claim turnaround and collaborate on audit readiness and compliance checks. Skills & Qualifications Must-Have - Graduate or diploma holder with proven experience in hospital TPA operations - Hands-on experience with cashless authorisation and pre-authorization processes - Demonstrable knowledge of medical billing and claim settlement workflows - Experience using TPA portals and managing end-to-end claim submissions - Strong tracking and documentation skills; ability to manage multiple active claims - Willingness to work on-site at Talegaon, Pune Preferred - Prior experience in a multi-speciality hospital setting - Familiarity with Hospital Information Systems (HIS) or EHR platforms - Proficiency in Marathi/Hindi and English for local TPA and patient interactions Benefits & Culture Highlights - Stable on-site role within a multi-speciality hospital with direct impact on patient experience and revenue cycle. - Opportunity to work cross-functionally with clinical, billing and admin teams and grow into senior RCM/TPA roles. - Competitive compensation aligned with experience and local market standards (Talegaon, Pune). To apply, candidates based in or near Talegaon/Pune with demonstrated TPA and hospital billing experience are encouraged to submit their resume and a brief summary of prior TPA workflows managed. Skills: operations,revenue,authorization,portals,settlement,tpa,documentation,insurance,authorisations,medical billing,skills
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Need a TPA person for Multi-speciality hospital
2 weeks ago
Pune, Maharashtra, India Medico Hub Full time ₹ 2,00,000 - ₹ 6,00,000 per yearContact Mr Nishant Chaudhary WhatsApp Industry & Sector:Healthcare — Multi-speciality hospital delivering inpatient and outpatient clinical services, surgical care and allied diagnostics in the Pune (Talegaon) region. This on-site role supports hospital revenue-cycle operations and insurer/TPA relationships to ensure seamless patient admission and claim...
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Pune, Maharashtra, India Medico Hub Full time ₹ 2,00,000 - ₹ 6,00,000 per yearContact Mr Nishant Chaudhary WhatsApp Industry & Sector: Healthcare — Multi-speciality hospital delivering inpatient and outpatient clinical services, surgical care and allied diagnostics in the Pune (Talegaon) region. This on-site role supports hospital revenue-cycle operations and insurer/TPA relationships to ensure seamless patient admission and claim...
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Hospital Tpa Executive
2 days ago
Pune, India Lotus Hospital Full timeWe are hiring TPA Executive for reputed multispeciality hospital with 2+ years relevant experience at Pune. Salary : Rs.20,000/- to Rs.30,000/- (Subject to Qualification, Experience & Current CTC). Notice Period : Immediate/ max 10-15 Days. Team HR 7972938380 Schedule: - Evening shift - Morning shift - Night shift Ability to commute/relocate: - Pune -...
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Tpa Eexecutive
2 days ago
Pune, Maharashtra, India Vighnaharta Super Speciality Hospital Full time**GREETINGS!** We are looking **TPA Executive / Mediclaim Executive/ Insurance Executive to join our team**. As the first point of contact for Clients, you will play a key role in creating a **positive impression**. **Requirements**: - **10+2, Graduation**: - **1 -2 years of experience In hospital is recommended.** **Interview Address** **VIGHNAHARTA...
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TPA Executive
6 days ago
Dhanori, Pune, Maharashtra, India Bapat Multispeciality Hospital Full time ₹ 2,40,000 - ₹ 4,20,000 per yearDepartment: Billing / Finance / TPAReports To: TPA Manager / Billing Head / Hospital AdministratorEmployment Type: Full-timeJob Summary:The TPA (Third Party Administrator) Executive is responsible for coordinating and managing all aspects related to cashless insurance and TPA billing operations in the hospital. This includes pre-authorization, insurance...
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Medical Officer-tpa
1 week ago
Sus, Pune, Maharashtra, India Rao Hospital Full timeUrgent hiring Medical Officer-TPA at Multispeciality hospital in Pune. Qualification : BAMS/ BHMS with 1+ Yrs of relevant TPA/ Mediclaim experience of 50+ bedded Multispeciality Hospital Set up is required. Roles and Responsibilities: TPA/ Cashless/ ECHS/ CGHS/ ESIC billing & documentations. Liaison with Govt. Health Departments. Liaison with Insurance...
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Gurugram, Gurugram, India Medico Hub Full timeJob 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...
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Pune, Maharashtra, India Medico Hub Full time ₹ 5,40,000 - ₹ 10,00,000 per yearContact Mr Nishant Chaudhary WhatsApp Industry & Sector: A multi‑speciality hospital operating in the healthcare and clinical services sector, providing outpatient, inpatient, and surgical care for local communities in Talegaon, Pune. We are expanding our patient services and need a dynamic marketing leader to grow service lines, elevate brand presence,...
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Medical Officer-tpa
2 weeks ago
Pune, India Lotus Hospital Full timeUrgent hiring Medical Officer-TPA for reputed multispeciality hospital in Pune. Qualification : BHMS/ BAMS Experience : 2+ years TPA/ Insurance relevant experience with 100+ beded multispeciality hospital is required. Salary : Rs.25,000/- to Rs.30,000/- (Subject to Qualification, Experience & Current CTC). Notice Period : Immediate/ max 10-15 Days. HR...
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Tpa Executive
2 weeks ago
Dhanori, Pune, Maharashtra, India Bapat Multispeciality Hospital Full timeTPA (Third-Party Administrator) Executive is responsible for handling all insurance and cashless hospitalization Skills:Oversee and manage the billing and claim submission process for TPAs. Ensure timely, accurate, and complaint submission of claims and invoices. Duty hours as per industry standards. **Job Types**: Full-time, Permanent Pay: ₹15,000.00...
