Tpa Coordinator

**TPA & Billing Coordinator**

**Roles and Responsibilities**:

- Prepare and manage billing for IPD patients, ensuring accuracy and compliance with hospital policies.
- Verify insurance and TPA details for each patient and ensure proper documentation is maintained.
- Process and submit insurance claims, ensuring all necessary documentation is provided.
- Follow up on pending claims with TPAs and insurance companies to ensure timely settlement.
- Address any discrepancies in claims and take corrective action as required.
- Assist patients and their families with understanding the billing process, insurance coverage, and claim status.
- Maintain records of all billing transactions, insurance claims, and documentation.
- Prepare regular reports on billing and claim status for management review.
- Ensure compliance with hospital policies, insurance regulations, and government guidelines.

**Requirements**:

- Minimum 1 year of experience in Hospital billing and TPA management.
- Strong knowledge of insurance processes, TPA operations, and healthcare billing practices.
- Excellent communication and interpersonal skills.
- Proficient in using hospital management software and billing systems.

Schedule:

- Day shift

Supplemental Pay:

- Overtime pay
- Yearly bonus

Ability to commute/relocate:

- Gandhinagar, Gujarat: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Bachelor's (required)

**Experience**:

- Medical billing: 1 year (required)

Work Location: In person

Application Deadline: 31/08/2024
Expected Start Date: 09/09/2024