Tpa Coordinator

**Job Description: TPA Coordinator**
**Position**: TPA Coordinator

**Job Overview**

The TPA (Third-Party Administrator) Coordinator plays a critical role in managing and coordinating insurance-related processes between patients, hospitals, and TPAs. They ensure timely approvals, documentation, and settlements to enhance patient satisfaction and streamline operations.

**Key Responsibilities**
- **Coordination with TPAs and Insurance Companies**:

- Serve as the primary point of contact for TPAs and insurance agencies.
- Facilitate pre-authorization approvals for planned and emergency procedures.
- **Patient Interaction**:

- Assist patients and their families in understanding the insurance process.
- Collect and verify insurance documents, policy details, and eligibility.
- **Documentation Management**:

- Maintain accurate records of pre-authorization, claims, and settlements.
- Ensure submission of claims with all required supporting documents.
- **Claim Processing and Follow-ups**:

- Monitor and track the progress of claims submitted.
- Liaise with TPAs for query resolution, approvals, and claim settlements.
- **Compliance and Updates**:

- Stay updated with insurance policies, TPA procedures, and regulatory guidelines.
- Ensure compliance with hospital protocols and insurance regulations.
- **Collaboration with Internal Teams**:

- Work closely with billing, admissions, and discharge teams to ensure smooth workflow.
- Support the finance team in reconciling TPA payments and pending dues.

**Skills and Competencies**
- Strong communication and interpersonal skills.
- Attention to detail and accuracy in documentation.
- Proficiency in using hospital management software and MS Office.
- Ability to handle stressful situations with patience and professionalism.
- Problem-solving and time management skills.

**Qualifications and Experience**
- Bachelor's degree in any field (Healthcare Management preferred).
- 1-3 years of experience in TPA coordination or insurance-related roles in healthcare.
- Familiarity with medical terminologies and hospital operations is an advantage.

**Join our team and contribute to delivering a seamless healthcare experience for our patients.**

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

Pay: ₹10,000.00 - ₹16,000.00 per month

**Experience**:

- Hospital: 1 year (required)

**Location**:

- Kalyani, West Bengal (preferred)

Work Location: In person