Tpa Coordinator

3 days ago

Vilholi Nashik Maharashtra, India Indorewala ENT Hospital Full time

**Job Title: TPA Coordinator**

**Organization**: Indorewala ENT Hospital, Viholi, Nashik

**Position Type**: Full-Time

**Experience Required**: 3 to 4 Years of Hospital Experience

**Education**:

- Degree in Business Administration, Hospital Administration, Healthcare Management, or a related field.
- Certifications or diplomas in Health Insurance, Healthcare Management, or Medical Billing and Coding are advantageous.

**Key Responsibilities**:

- Oversee and manage TPA (Third Party Administrator) operations, ensuring smooth coordination between the hospital and insurance companies.
- Process and follow up on insurance claims and pre-authorizations, ensuring timely and accurate submissions.
- Handle patient queries related to insurance coverage, claims status, and other related concerns.
- Collaborate with hospital departments to ensure accurate documentation and compliance with insurance requirements.
- Maintain up-to-date knowledge of insurance policies, procedures, and industry trends.
- Provide training and support to staff on TPA-related processes and updates.
- Ensure all TPA-related records and documentation are maintained accurately and confidentially.
- Address and resolve any issues or discrepancies related to insurance claims and reimbursements.
- Assist in improving processes and procedures to enhance overall efficiency and patient satisfaction.

**Skills and Qualifications**:

- Proficiency in English, Hindi, and Marathi (written, read, and spoken).
- Excellent multitasking abilities and strong interpersonal skills.
- Clinical knowledge and understanding of hospital operations and patient care.
- Ability to work collaboratively in a team environment and handle high-pressure situations effectively.

**Benefits**:

- Competitive salary and benefits package
- Opportunities for professional development and career growth
- Supportive and dynamic work environment

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

Pay: From ₹18,000.00 per month

**Benefits**:

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

Schedule:

- Day shift
- Evening shift
- Morning shift
- Night shift
- Rotational shift

Work Location: In person

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