Tpa Coordinator

3 days ago


Kalyani WB IN Rainbow Specialty Hospital Full time

TPA Coordinator Position TPA Coordinator Job Overview The TPA Third-Party Administrator Coordinator plays a critical role in managing and coordinating insurance-related processes between patients hospitals and TPAs They ensure timely approvals documentation and settlements to enhance patient satisfaction and streamline operations Key Responsibilities Coordination with TPAs and Insurance Companies Serve as the primary point of contact for TPAs and insurance agencies Facilitate pre-authorization approvals for planned and emergency procedures Patient Interaction Assist patients and their families in understanding the insurance process Collect and verify insurance documents policy details and eligibility Documentation Management Maintain accurate records of pre-authorization claims and settlements Ensure submission of claims with all required supporting documents Claim Processing and Follow-ups Monitor and track the progress of claims submitted Liaise with TPAs for query resolution approvals and claim settlements Compliance and Updates Stay updated with insurance policies TPA procedures and regulatory guidelines Ensure compliance with hospital protocols and insurance regulations Collaboration with Internal Teams Work closely with billing admissions and discharge teams to ensure smooth workflow Support the finance team in reconciling TPA payments and pending dues Skills and Competencies Strong communication and interpersonal skills Attention to detail and accuracy in documentation Proficiency in using hospital management software and MS Office Ability to handle stressful situations with patience and professionalism Problem-solving and time management skills Qualifications and Experience Bachelor s degree in any field Healthcare Management preferred 1-3 years of experience in TPA coordination or insurance-related roles in healthcare Familiarity with medical terminologies and hospital operations is an advantage Join our team and contribute to delivering a seamless healthcare experience for our patients Job Types Full-time Permanent Pay 10 000 00 - 16 000 00 per month Experience Hospital 1 year Required Location Kalyani West Bengal Preferred Work Location In person


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