Tpa Co-ordinator

16 hours ago

Mumbai Maharashtra, India MOC CANCER CARE & RESEARCH CENTRE Full time

**Job Title**: TPA Coordinator

**Location**:MOC Cancer Care & Research Centre, Andheri (E) / Panvel

**Job Summary**:
**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**, **GIPSA**, and private insurance claims.
- Track claim status, follow up on pending claims, and ensure timely reimbursements.
- Maintain up-to-date records and MIS reports.
- Coordinate with patients regarding insurance queries and documentation needs.
- Ensure compliance with standard protocols and hospital policies.

**Requirements**:

- Minimum **2-3 years** of experience in hospital TPA operations, specifically with **CGHS**, **GIPSA**, and **anywhere cashless** networks.
- Strong understanding of cashless claims and insurance processes.
- Proficiency in **Microsoft Excel** and hospital billing software.
- Good communication and interpersonal skills.
- Ability to work under pressure and handle multiple tasks.

**Job Types**: Full-time, Permanent

Pay: ₹25,000.00 - ₹30,000.00 per month

**Benefits**:

- Health insurance
- Leave encashment
- Paid sick time
- Provident Fund

Expected Start Date: 01/10/2025

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