Tpa Desk Coordinator

7 hours ago


Bahadurgarh HR IN Medark hospital Full time

TPA Desk Coordinator Location Medark Hospital Bahadurgarh Department Billing Insurance TPA Desk Role Full-time Reports to Billing Manager Hospital Administrator Position Overview The TPA Desk Coordinator will be responsible for managing all activities related to cashless hospitalization insurance approvals patient coordination and documentation The role demands excellent communication strong follow-up skills accuracy and an understanding of hospital billing insurance workflows Key Responsibilities1 Patient Registration Verification Verify patient s insurance policy details eligibility and required documents Explain cashless procedures and documentation requirements to patients attendants Ensure all pre-auth forms are filled accurately and submitted on time 2 Pre-Authorization Management Submit pre-authorization requests to TPAs insurance companies promptly Follow up regularly to obtain approval within required timelines Maintain real-time communication with consultants regarding queries raised by TPAs 3 Admission Discharge Coordination Coordinate with admission staff for cashless approval before room allotment Ensure all treatment updates and final bills are submitted to TPA before discharge Process enhancement requests when treatment plan or stay extends 4 Billing Documentation Ensure all medical records investigation reports and bills are correct and complete Maintain proper filing of TPA documents for audits Provide final bill discharge summary and TPA-required documents before final approval 5 TPA Insurance Relationship Management Maintain updated list of TPAs insurance companies and empanelment guidelines Build strong working relationships with TPA representatives Resolve queries and escalate cases when required 6 Communication Customer Support Handle patient and family queries regarding coverage non-payables and approvals Communicate limitations of policy deductions and co-pay clearly Maintain a professional and supportive attitude at all times 7 Compliance Reporting Ensure compliance with hospital policies and IRDAI norms Prepare daily MIS reports pending approvals discharged patients claim status deductions and rejections Assist in audits by TPA Insurance teams Required Qualifications Skills Education Graduate in any discipline preference for Hospital Administration BBA Healthcare Experience 1-3 years in TPA desk hospital billing medical insurance preferred Skills Strong communication patient-handling skills Understanding of TPA processes Good typing documentation accuracy Ability to work under pressure Computer proficiency MS Office HIS systems Key Qualities Pleasant patient-centric approach Attention to detail Ethical and responsible handling of documents Fast learner with good coordination abilities Salary Range As per hospital standards and candidate experience Job Types Full-time Permanent Pay 13 000 00 - 25 000 00 per month Work Location In person



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