Tpa Executive

4 days ago

Kankarbagh Patna Bihar, India Bodhi Healthcare Private Limited Full time

**Position Title**: TPA Executive / Insurance Coordinator

**Qualification**:Graduate/Hospital Management

**Experience**: 1 to 3 years (Corporate TPA/Insurance)

**Purpose of the Role**

To manage cashless and reimbursement processes for insured patients, ensuring accurate coordination between the hospital, insurance companies, and TPAs in compliance with NABH documentation standards.

**Key Responsibilities**
- Coordinate with TPAs/insurance companies for preauthorization and claims processing.
- Verify patient insurance documents and policy eligibility before admission.
- Ensure timely submission of documents for preauthorization and discharge approval.
- Maintain proper documentation of patient files for audit and compliance.
- Coordinate with billing, front office, and medical teams for accurate claim details.
- Track claim status, manage rejections, and ensure timely reimbursements.
- Prepare daily MIS reports for pending and approved cases.

**Skills & Competencies**
- Strong understanding of health insurance and cashless systems.
- Excellent documentation and coordination skills.
- Proficiency in hospital billing software and MS Office.
- High integrity and attention to detail.

**Qualification & Experience**

Graduate (preferably in Commerce or Healthcare Management).
2-4 years’ experience in TPA / insurance desk in a hospital setup.

Pay: ₹15,000.00 - ₹30,000.00 per month

**Benefits**:

- Cell phone reimbursement
- Health insurance
- Internet reimbursement
- Leave encashment
- Paid sick time
- Paid time off
- Provident Fund

**Experience**:

- TPA: 1 year (required)

Work Location: In person

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