Admin Tpa

**Job Title**: Admin cum TPA Executive

**Location**: Rasayani, Raigad
**Experience**: Minimum 3 years
**Qualification**: Graduate (mandatory)
**Industry**: Healthcare / Hospital

**Job Summary**:
**Key Responsibilities:Administrative Duties**:

- Oversee day-to-day administrative operations of the hospital.
- Coordinate with departments for smooth functioning and patient service.
- Maintain staff attendance, shift schedules, and general discipline.
- Ensure timely procurement of medical and non-medical supplies.
- Supervise facility management, maintenance, and security.
- Handle patient complaints and grievances promptly.

**TPA & Insurance Coordination**:

- Handle cashless hospitalization process - pre-authorization, approvals, and final settlement.
- Coordinate with TPA agencies and insurance companies for timely claims processing.
- Maintain accurate and complete documentation for all insured patients.
- Ensure submission of final bills, discharge summaries, and other supporting documents to TPAs.
- Follow up on pending claims and coordinate for rejections or short payments.
- Maintain TPA MIS and prepare regular reports for management.

**Required Skills**:

- Strong knowledge of hospital operations and TPA procedures.
- Familiarity with medical billing, coding, and insurance documentation.
- Proficient in MS Office (Word, Excel) and hospital management software.
- Good communication and interpersonal skills.
- Ability to handle pressure and resolve issues efficiently.

**Preferred Experience**:

- Minimum 3 years of experience in a similar role in a multispecialty hospital setting.

Pay: From ₹25,000.00 per month

**Benefits**:

- Flexible schedule

Schedule:

- Day shift
- Fixed shift
- Morning shift

Work Location: In person

Application Deadline: 20/07/2025
Expected Start Date: 21/07/2025