TPA Coordinator

**JOB PROFILE: TPA** **JOB DESCRIPTION**: 1. Handling Of TPA /Corporate Patients For Cashless. Instruct And Get Undertaking /Consent Form Filled By Patient /Relative. 2. To Do A Cashless Formality Like Pre-cut Form /Query Reply /Discharge Process Etc.Liase With Department Representative Involved Resolving Query And Issues Related With Cashless. 3. Track...

Key Responsibilities:Handle and process cashless claims efficiently and within timelines.Coordinate with TPAs, insurance companies, and internal departments for smooth processing of patient admissions and discharges.Manage pre-authorisation, enhancement, and final approval processes for all cashless patients.Ensure accurate and timely documentation for CGHS,...

Key Responsibilities:Claims Management: Process and manage insurance claims efficiently, ensuring accuracy and adherence to company guidelines. Coordination: Collaborate with healthcare providers, insurance companies, and TPA entities to facilitate claim approvals and resolve discrepancies. Pre-Authorization: Counsel patients' families on pre-authorization...

Preparing and submitting pre-authorization requests. - Verifying and documenting patient information. - Coordinating with insurance companies to resolve claim discrepancies. - Providing timely updates to patients and families on claim status. - Maintaining records and reports related to TPA activities. - Ensuring compliance with relevant regulations and...

**Position**: Billing & TPA Expert **Location**: Tieten Medicity Hospital **Salary**: ₹14,000 - ₹20,000 per month **Experience**: Fresher to Experienced **Job Type**: Full-time **About Us**: Tieten Medicity Hospital is a leading healthcare provider dedicated to delivering top-notch medical care to patients. We believe in nurturing talent and providing...

Position: Billing & TPA ExpertLocation: Tieten Medicity HospitalSalary: ₹14,000 – ₹20,000 per monthExperience: Fresher to ExperiencedJob Type: Full-timeAbout Us:Tieten Medicity Hospital is a leading healthcare provider dedicated to delivering top-notch medical care to patients. We believe in nurturing talent and providing opportunities for growth in...

Preparing and submitting pre-authorization requests Verifying and documenting patient information Coordinating with insurance companies to resolve claim discrepancies Providing timely updates to patients and families on claim status Maintaining records and reports related to TPA activities Ensuring compliance with relevant regulations and guidelines ...

**Lists of Responsibilities/Duties** - Follow up for all outstanding amount from TPA / Insurance. - To handle the Corporate Patients and make them aware regarding the authorization / approval required from their concerned companies as per the agreement with the hospital. - All documentation should be sent to TPA/ Insurance after discharge of patient. -...

Facilitate and manage the patient admission process (cash and insurance). - Coordinate room allocation as per patient category and availability. - Verify and collect necessary documents such as ID proofs, insurance papers, doctor prescriptions, etc. - Ensure accurate data entry into the Hospital Information System (HIS). - Provide clear communication to...

Verify patient eligibility and documentation under the MJPJAY scheme. - Coordinate with the MJPJAY desk and patients for registration and admission formalities. - Prepare and submit preauthorization requests and required supporting documentation on time. - Monitor and track approval status, ensuring timely interventions for pending authorizations. - Prepare...