Tpa Coordinator

4 weeks ago


Kalyan MH IN Efficient Insurance Brokers Pvt Ltd Full time

Job Summary We are looking for a dedicated and detail-oriented TPA Third Party Administrator Coordinator to manage all insurance-related tasks including pre-authorizations patient documentation claim processing and follow-up with TPA insurance companies Key Responsibilities Coordinate with patients and their families regarding insurance policies and documentation Submit pre-authorization requests to TPAs and insurance providers in a timely manner Follow up on approvals queries and rejections from TPAs Handle discharge intimation final authorization and e-mail communications Maintain proper records of insurance claims patient files and authorization letters Work closely with the billing department for claim settlement and approvals Ensure timely submission of final bills and discharge summaries Handle claim queries and support audits or documentation verifications Keep updated with TPA guidelines and policy changes Coordinate with consultants and hospital departments for necessary medical information Skills Required Good communication English Hindi and regional language Familiarity with medical terminologies and hospital systems Basic computer skills MS Office Hospital Management Software Ability to multitask and handle pressure Strong organizational and documentation skills Preferred Candidates Experience in a hospital clinic setting with exposure to TPA operations Understanding of IRDAI regulations and healthcare insurance processes Job Type Full-time Pay 25 000 00 - 30 000 00 per month Work Location In person


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