Tpa Coordinator

2 days ago

Navrangpura Ahmedabad Gujarat, India Solar Hospital Grace GPS Healthcare Pvt. Ltd. Full time

**Job Title**: Cashless / TPA Executive

**Location**: [Navrangpura / Naranpura] - Solar Multispecialty Hospital
**Department**: Cashless / TPA
**Experience**: Minimum 1 year in a hospital handling TPA / cashless process
**Qualification**: Graduate (preferably in Commerce, Hospital Administration, or related field)

**Key Responsibilities**:

- Coordinate with Third-Party Administrators (TPAs) and insurance companies for cashless approvals and claims.
- Handle admission intimation, pre-authorization requests, and timely follow-ups for approvals.
- Ensure accurate and complete documentation as per TPA and insurance norms.
- Liaise with consultants for timely preparation and submission of discharge summaries and final bills.
- Obtain final approvals from TPAs/insurance before discharge.
- Maintain and update TPA tracking registers and online portals daily.
- Educate patients/attendants regarding the cashless process and requirements.
- Follow up for pending approvals, shortfalls, and documentation requirements.
- Ensure all claim-related documents are properly scanned and filed for audit and reimbursement.
- Coordinate with internal billing, medical records, and operations team to ensure smooth processing.
- Maintain good relationships with TPA coordinators and insurance desk partners.

**Skills & Competencies**:

- Strong understanding of health insurance processes and TPA workflows.
- Good communication and interpersonal skills.
- Proficiency in MS Office and hospital information systems (HIS).
- Ability to handle pressure and multitask in a hospital environment.
- Attention to detail and strong documentation skills.

Pay: ₹10,000.00 - ₹35,000.00 per month

**Benefits**:

- Food provided
- Leave encashment

Work Location: In person

Expected Start Date: 25/07/2025

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