Tpa & Insurance Coordinator

4 days ago

Varanasi Uttar Pradesh, India ZenOnco.io Full time

**TPA & Insurance Empanelment**
- Identify and approach TPAs and private insurance companies for empanelment.
- Prepare and submit all required documentation for empanelment.
- Coordinate site visits and inspections by insurers/TPAs.
- Maintain records of empanelment agreements, renewals, and updates.

**Pre-Authorization & Claim Processing**
- Manage the process of obtaining pre-authorization approvals for insured patients.
- Ensure timely submission of final bills and discharge summaries for claim processing.
- Track claim status and respond to queries raised by insurance companies/TPAs.
- Liaise with doctors, billing, and medical records departments to ensure claim accuracy.

**Patient Coordination**
- Explain the insurance process to patients and caregivers.
- Collect all necessary insurance documents from patients.
- Follow up with patients for balance payments not covered by insurance.
- Assist in converting cash patients to insurance-based treatment if eligible.

**Follow-Up for Payments**
- Track outstanding payments from TPAs, insurance companies, and patients.
- Coordinate with the finance team to reconcile received payments.
- Maintain daily reports of payment status and claims pending.

**Key Skills & Requirements**:

- Bachelor's degree (preferably in healthcare, administration, or commerce)
- 2+ years of experience in TPA/insurance handling in a hospital setup
- Familiar with TPA portals and insurance company procedures
- Good communication and follow-up skills
- Detail-oriented, with strong documentation and organizational ability
- Ability to handle pressure and work independently

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

Pay: ₹12,000.00 - ₹25,000.00 per month

Schedule:

- Day shift
- Morning shift

Work Location: In person

  • Tpa Coordinator

    2 weeks ago

    Noida, Uttar Pradesh, India DR. HALDARS ORTHOVISION HEALTHCARE Full time

    We are looking for a TPA coordinator who can assist us from the process of onboarding of insurance empanelment to cashless processing to uploading documents and following up with insurance companies till claim settlements. Pay: ₹15,000.00 - ₹20,000.00 per month **Benefits**: - Cell phone reimbursement Work Location: In person

  • Sr. TPA Executive

    6 days ago

    Varanasi, Uttar Pradesh, India vardhan hospital Full time ₹ 14,40,000 - ₹ 36,00,000 per year

    Full job descriptionKey Responsibilities:TPA & Insurance CoordinationLiaise with various TPAs, insurance companies, and corporate clients for emplacement and claim processing.Ensure timely submission and follow-up of all pre-authorization and final claim documents.Maintain records of all cashless and reimbursement patients.Claims ManagementVerify patient...

  • Medical Officer

    4 days ago

    Lucknow, Uttar Pradesh, India Safeway Insurance TPA Pvt. Ltd Full time

    We are hiring MBBS doctors for Medical officer profile in Health Insurance TPA Pvt. Ltd. Non clinical work. Job location will be Lucknow. Experience of Insurance Co/ TPA/ Broker/ Healthcare Industry will be preferred. Freshers also welcome. Pay: ₹50,000.00 - ₹70,000.00 per month **Benefits**: - Health insurance - Life insurance - Paid time...

  • Tpa Executive

    2 weeks ago

    Meerut, Uttar Pradesh, India Shubhkamna Hospital Full time

    **Responsibilities**: - Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Couriering the hard copy of patient's medical file to the Insurance companies. - Responsible for all co-ordination activities...

  • TPA Executive

    1 week ago

    Bhelupur, Varanasi, Uttar Pradesh, India Shree Hr services Full time ₹ 1,80,000 - ₹ 3,00,000 per year

    Candidate should be able to handle all medical Insurance claims.Must have knowledge on Medical insurance terms & conditions.Able to work independently.Key SkillsMedical insurance claims, Basic computer knowledge.Required Experience and QualificationsMinimum 1 year experience in any medical form or hospital.Job Type: Full-timePay: ₹15, ₹25,000.00 per...

  • Medical Officer

    1 week ago

    Lucknow District, Uttar Pradesh, India safeway insurance tpa service Full time

    We are looking for a team of dynamic people with the great experience of Health Care, Health Insurance, TPA, Third Party Administrator Industry, for different roles like Claim Processing, Medical assessment, - Salary:_ INR 2,75,000 - 3,50,000 P.A. Salary as per Qualification - Industry:_ Insurance - Functional Area:_ Medical, Healthcare, R&D,...

  • Tpa Coordinator

    1 week ago

    Varanasi, Uttar Pradesh, India Shree Hr services Full time

    Must have knowledge on Medical insurance terms & conditions. Able to work independently. Key Skills Medical insurance claims, Basic computer knowledge. Required Experience and Qualifications Minimum 1 year experience in any medical form or hospital. **Salary**: ₹14,000.00 - ₹20,000.00 per month **Benefits**: - Provident Fund Schedule: - Day...

  • Tpa Coordinator

    2 weeks ago

    Varanasi, Uttar Pradesh, India Shree Hr services Full time

    Must have knowledge on Medical insurance terms & conditions. Able to work independently. Key Skills Medical insurance claims, Basic computer knowledge. Required Experience and Qualifications Minimum 1 year experience in any medical form or hospital. Pay: ₹14,000.00 - ₹22,000.00 per month **Benefits**: - Provident Fund Schedule: - Day shift Ability...

  • Medical Officers

    6 days ago

    Lucknow, Uttar Pradesh, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the organization while settlement...

  • Medical Officer Working From Office

    1 week ago

    Lucknow, Uttar Pradesh, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the organization while settlement...