Tpa or Mediclaim Coordinator

6 days ago

Santacruz West Mumbai Maharashtra, India Deep HR Services Full time

**Job Title: TPA Documentation, Corporate & Mediclaim Coordinator**

**Location: Santacruz (W), Mumbai**

**Department: Billing / Insurance Coordination**

**Working Hours: 7:00 AM to 7:00 PM (Fixed Shift)**

**Weekly Off: Sunday**

**Key Responsibilities**:
**TPA & Mediclaim Coordination**:

- Prepare and verify insurance documentation including pre-auth forms, discharge summaries, medical reports, and invoices.
- Ensure all documentation complies with insurance guidelines and is submitted in a timely manner.
- Coordinate with the medical and billing team to prepare accurate estimates and final bills for insured and corporate patients.
- Manage appointment coordination, insurance verification, and billing for corporate clients.
- Maintain records and MIS reports for corporate patients and billing accounts.
- Ensure smooth and professional service delivery to corporate patients.

**Patient Support**:

- Provide clear guidance to patients and their families regarding insurance coverage, documentation requirements, and claim status.
- Resolve patient queries related to insurance and billing with clarity and professionalism.

**Education**: HSC / Graduate in any discipline (Preferred: Healthcare related field)

Experience: Minimum 1-2 years in TPA/insurance coordination or hospital billing, preferably in an eye hospital or similar healthcare setup

**Skills**:

- Strong understanding of TPA and Mediclaim processes
- Excellent verbal and written communication
- Good knowledge of hospital software systems and MS Office
- High attention to detail and strong organizational skills
- Ability to handle patient interactions with empathy and professionalism

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

Pay: ₹20,000.00 - ₹25,000.00 per month

**Experience**:

- TPA Coordinator : 2 years (preferred)
- Mediclaim Coordinator : 2 years (preferred)

Work Location: In person

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