[Urgent] Need a TPA person for eye care hospital gurgaon sector 49

3 weeks ago

Gurugram Gurugram India Medico Hub Full time

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 Coordinator (Medical Insurance & Cashless Claims) Role & Responsibilities - Manage end-to-end TPA interactions for insured patients: verify policy details, initiate pre-authorizations, and follow up for cashless approvals. - Process IP and OP claims accurately: prepare and submit supporting documents, code procedures/diagnoses per hospital guidelines, and track claim lifecycle to resolution. - Coordinate with clinical teams, billing, and OP/IP counters to ensure timely documentation and reduce claim rejections or delays. - Resolve denials and escalations with TPAs: perform root-cause analysis, submit appeals or clarifications, and close pending claims within SLA. - Maintain daily logs and dashboards for claims status, authorizations, reimbursements, and aging; escalate trends to department lead. - Ensure compliance with insurer policies, hospital SOPs, and patient confidentiality requirements while supporting audit requests. Skills & Qualifications Must-Have - Proven experience handling TPA processes and cashless authorizations in a hospital setting. - Strong knowledge of medical insurance claim documentation and common rejection reasons. - Hands-on experience with Hospital Information Systems (HIS) or EMR platforms for claims and billing. - Advanced MS Excel skills for reconciliation, reporting, and claims tracking. - Attention to detail, ability to manage multiple insurer portals, and follow insurer SLAs precisely. - Fluent in English and Hindi; comfortable communicating with TPAs, patients, and clinical staff on-site. Preferred - Prior exposure to ophthalmology procedures, package pricing, and surgery authorization workflows. - Experience with denial management and claim appeal preparation for large TPAs. - Familiarity with local insurer networks and policy nuances for Gurgaon/Haryana region. Benefits & Culture Highlights - On-site role with direct patient interaction in a focused eye-care environment strong opportunity to build domain expertise. - Collaborative clinical and admin teams, with mentorship for process improvement and career progression. - Competitive hospital-staff benefits and opportunities for training on HIS/claims tools. Location: Gurgaon, Sector 49 On-site role. Employer: Medico Hub (Eye Care Hospital). Skills: tpa,insurance,teams,appeals,documentation,his,skills,advanced,ophthalmology

  • Need a TPA person for Multi-speciality hospital

    2 weeks ago

    Pune, India Medico Hub Full time

    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...

  • Toddler Teacher

    6 days ago

    Gurugram, Haryana, India Kangaroo Kids International Preschool, Sector 49 Full time

    **Position**: Toddler Teacher **Location**: Sector 49, Gurgaon **Job Type**: Full-Time **Job Summary**: **Responsibilities**: - Develop and implement age-appropriate lesson plans and activities to support toddlers' cognitive, social, and emotional development. - Provide a safe, clean, and stimulating classroom environment. - Foster positive interactions...

  • Doctors Tpa Claims

    5 hours ago

    Gurugram, Haryana, India Tresbien HR Staffing Full time

    Greetings! **Urgently required Doctors (Freshers Welcome) BAMS\BHMS\BDS for a TPA Insurance.** **Exp - 1 Year TPA OR Freshers can apply( Interns NEED NOT Apply)** **Freshers will be provided Training.** **Job Location - Gurgaon - Udyog Vihar.** **Job Description-** **Roles & Responsibility.** **This is a Full time Job (Co. Payroll Job)** - Medical...

  • Day Care Teacher

    2 weeks ago

    Gurugram, Haryana, India HEI School Gurugram, Sec-49 Full time

    HEI Schools Sector 49 Gurugram is looking for **Daycare Teacher**. As a Daycare Teacher, you will be responsible for providing a safe, nurturing, and stimulating environment for children under your care. You will oversee daily activities, implement age-appropriate educational programs, and ensure the well-being of each child. If you are driven to work with...

  • Receptionist (Female) for Real Estate Company in Sector 49,gurugram

    1 week ago

    Gurugram, Haryana, India Capital Placement Services Full time

    **Gurgaon, Sector 49** Receptionist (female) for Real estate company in sector 49, Gurugram MCPS Greet and welcome clients, visitors, and guests in a professional manner. Handle incoming calls, inquiries, and direct them to the appropriate department. Maintain visitor records and appointment schedules. Coordinate with internal teams to ensure smooth office...

  • Executive (Female) - Sector 49 Gurgaon

    2 weeks ago

    Gurugram, Haryana, India Capital Placement Services Full time

    **Gurgaon** Urgent opening for SEO Executive (Female) For a Manufacturing Company in Gurgaon. JD for Off-page SEO Executive SEO Analyst is responsible for implementing SEO and Social media strategies for our Company: Doing on page Doing off page Site analysis Competitor Analysis Keyword Research Meta title analysis & writing Sitemap building and...

  • Marketing Executive

    2 weeks ago

    Gurugram, Haryana, India Capital Placement Services Full time

    **Gurgaon, Sector 49** Job Description: - Experience - 0 - 6 Years - Salary - 2 Lac 25 Thousand To 3 Lac P.A. - Industry - Sales & Marketing / Business Development / Telecaller - Qualification - M.B.A/PGDM - Key Skills Marketing Executive Branch Sales Manager B2B Sales Client Coordinator Field Marketing Field Executive

  • Tpa Executive

    6 days ago

    Gurugram, Haryana, India Silverstreak hospital Full time

    Tpa executive who owns pre authorisation filling of TPA company and cam process full tpa process for approval **Job Type**: Permanent Pay: ₹11,198.66 - ₹28,000.00 per month Work Location: In person

  • GL Finance Controller Manager

    1 week ago

    Gurugram, India White Force Full time

    Job description We are looking for candidates from  Trading/E-commerce backgrounds  who understand  buying and selling side accounting,  not from service industries like KPMG or EY. Additionally, they must have experience with  Indian Accounting Standards, GST, and TDS .  Location:  Gurgaon, Sector 49 (Work from office) | AlternateSaturdaysworking

  • GL Finance Controller Manager

    3 days ago

    Gurugram, India White Force Full time

    Job description We are looking for candidates from  Trading/E-commerce backgrounds  who understand  buying and selling side accounting,  not from service industries like KPMG or EY. Additionally, they must have experience with  Indian Accounting Standards, GST, and TDS .  Location:  Gurgaon, Sector 49 (Work from office) | AlternateSaturdaysworking