TPA Co-ordinator
1 day ago
Job Title: TPA Coordinator
Location: MOC Cancer Care & Research Centre, Andheri (E) / Panvel
Job Summary:
We are seeking a dedicated and detail-oriented TPA Coordinator to manage and process cashless claims efficiently. The ideal candidate will have prior experience with CGHS, GIPSA, and anywhere cashless insurance procedures, along with strong coordination and documentation skills.
Key Responsibilities:
- Handle and process cashless claims efficiently and within timelines.
- Coordinate with TPAs, insurance companies, and internal departments for smooth processing of patient admissions and discharges.
- Manage pre-authorisation, enhancement, and final approval processes for all cashless patients.
- Ensure accurate and timely documentation for CGHS, GIPSA, and private insurance claims.
- Track claim status, follow up on pending claims, and ensure timely reimbursements.
- Maintain up-to-date records and MIS reports.
- Coordinate with patients regarding insurance queries and documentation needs.
- Ensure compliance with standard protocols and hospital policies.
Requirements:
- Minimum 2–3 years of experience in hospital TPA operations, specifically with CGHS, GIPSA, and anywhere cashless networks.
- Strong understanding of cashless claims and insurance processes.
- Proficiency in Microsoft Excel and hospital billing software.
- Good communication and interpersonal skills.
- Ability to work under pressure and handle multiple tasks.
Job Types: Full-time, Permanent
Pay: ₹25, ₹30,000.00 per month
Benefits:
- Health insurance
- Leave encashment
- Paid sick time
- Provident Fund
Expected Start Date: 01/10/2025
-
Eye Hospital Counselor
3 days ago
Mumbai, Maharashtra, India Bhanoo Hospital Pvt Full time ₹ 4,20,000 - ₹ 4,80,000 per yearJob descriptionWhatsApp CV procedures/investigations Counsels patients on the reports given by the doctor.Co-ordination with Consultant / Centre Head on daily basis based on surgery advice and conversion.Maintain checklist as per the instruction given by the management. (Like Cataract, FFA, etc.,)Explain the tariff of the concern procedures / investigations...
-
Navi Mumbai, Maharashtra, India Fortis Full time ₹ 2,00,000 - ₹ 6,00,000 per yearAppointment, admission and discharge of patients : Billing, generate invoices, maintain daily scrolls, provide Cash/ Credit/ Corporate billing and discount information to customersRegistration: Complete the registration process in a timely and accurate mannerCashiering: Submit deposited cash/ cheque/drafts/credit slips to finance. Hold Responsibility for...
-
Consultant - Medical Officer - BSc. Nursing
1 week ago
Mumbai, Maharashtra, India Medi Assist Full time ₹ 5,00,000 - ₹ 15,00,000 per yearGreeting from Medi assist TPA Pvt ltd.Hiring Medical officer for Insurance Claim processing ProfileLocation- Mumbai -Andheri East.Role - Medical officerExp : 0-3 yearsWORK FROM OFFICE ONLY.Job description :Check the medical admissibility of a claim by confirming the diagnosis and treatment details.Scrutinize the claims, as per the terms and conditions of the...
-
Consultant - Medical Officer
20 hours ago
Mumbai, Maharashtra, India Medi Assist Full time ₹ 2,00,000 - ₹ 6,00,000 per yearGreeting from Medi assist TPA Pvt ltd.Hiring Medical officer for Insurance Claim processing ProfileLocation- Mumbai -Andheri East.Role - Medical officer Exp : 0-3 yearsWORK FROM OFFICE ONLY.Job description :Check the medical admissibility of a claim by confirming the diagnosis and treatment details.Scrutinize the claims, as per the terms and conditions of...
-
Field Operations Executive
5 days ago
Mumbai, Maharashtra, India Rentokil Initial Full time ₹ 5,00,000 - ₹ 15,00,000 per yearAbout Rentokil PCIRentokil PCI is the leading pest control service provider in India. A Rentokil Initial brand, RentokilPCI was formed in 2017 through a joint venture (JV) between Pest Control India, the number onepest control company in India, and Rentokil, the world's leading pest control brand. Rentokil PCIaims to set new standards for customer service...
-
Field Operations Executive
2 weeks ago
Mumbai, Maharashtra, India Rentokil Initial Full time ₹ 9,00,000 - ₹ 12,00,000 per yearAbout Rentokil PCIRentokil PCI is the leading pest control service provider in India. A Rentokil Initial brand, RentokilPCI was formed in 2017 through a joint venture (JV) between Pest Control India, the number onepest control company in India, and Rentokil, the world's leading pest control brand. Rentokil PCIaims to set new standards for customer service...
-
Operations Executive
23 hours ago
Mumbai, Maharashtra, India Rentokil Initial Full time ₹ 5,00,000 - ₹ 15,00,000 per yearAbout Rentokil PCIRentokil PCI is the leading pest control service provider in India. A Rentokil Initial brand, RentokilPCI was formed in 2017 through a joint venture (JV) between Pest Control India, the number onepest control company in India, and Rentokil, the world's leading pest control brand. Rentokil PCIaims to set new standards for customer service...
-
Tpa Coordinator
1 week ago
Mumbai, Maharashtra, India Holy Family Hospital, Bandra Full time**Job description** **Responsibilities**: **Handling the TPA Process of hospital** - Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Couriering the hard copy of patient's medical file to the Insurance...
-
Tpa
1 week ago
Borivali, Mumbai, Maharashtra, India Nakshatra Skill Development Campus PVT.LTD Full time**Greetings from Hospital Staff** **HOSPITAL STAFF PROVIDES 100% FREE JOBS** **Post**: TPA Co-Ordinator **Location**: Borivali **Experience**: 1-2 Year in TPA (Cashless / Mediclaim / Insurance) **Salary**: 12000-18000 **Shift**: Day Shift **Experience**: - total work: 1 year (preferred) Work Location: In person
-
Tpa Cordinator
1 day ago
Navi Mumbai, Maharashtra, India SHAMAL HOSPITAL & ICU CARE Full timeShamal hospital and ICU CARE Handling TPA related all process from billing to co-ordinate with TPA companies. - Responsible for counseling patient's family & pre-Auth process. - Maintaining & uploading patient's files on the portal. - Handling billing Department, Implants bill updating & reconciliation. - Daily co-ordination with the patient and Hospital...
-
Tpa Executive
5 days ago
CBD Belapur, Navi Mumbai, Maharashtra, India Acharya Shri Nanesh Hospital Full timeJob Summary: Manage TPA (Third Party Administrator) operations, ensuring efficient processing of health claims. Coordinate with healthcare providers, insurers, and customers to resolve claim-related issues. Analyze data to identify trends and areas for improvement in the claims process. **Responsibilities**: - Coordinate with healthcare providers,...
-
Tpa Executive
7 days ago
Mumbai, India ABACS Full time**Responsibilities** - Responsible for counseling patient s family pre-Auth process - Maintaining uploading patient s files on the portal. - Couriering the hard copy of patient s medical file to the Insurance companies. - Responsible for all co-ordination activities from patient s admission to discharge. - Handling billing Department, Implants bill updating...
-
Tpa Billing Executive
5 days ago
Mumbai, India Manki Job Consultancy Pvt. Ltd Full timeEducation: Graduate **Job Description**: Billing counseling. Collection of advance deposit from pt. To ensure correct billing charges ( i.e. as per the SOC/System ) Cash / advance deposit collection. Preauthorization form filing and counseling of insurance patient. To communicate with treating doctor for surgery related cases. Estimation of patients stay and...
-
CRM
2 weeks ago
Mumbai, India Paramount Health Services Full timeClose Co-ordination with Brokers and Insurance Companies for successful management of Corporate Clients. Co-ordination with the Client HR for Employee & Dependent details for preparation of Addition/Deletion /Rectification EndorsementMonthly Policy Performance and Feedback meet with corporate HR, Broker & Insurance CompanyFirst level scrutiny of the claim...
-
Urgent Req. of CRM
1 week ago
Kanpur, Mumbai, Pune, India Health Assist Insurance TPA Pvt Ltd Full time ₹ 2,00,000 - ₹ 6,00,000 per yearWe are hiring CRM profile for Health Insurance TPA Co. Job location will be Pune / Mumbai / Kanpur office. Minimum 1-5 year experience should be of Insurance Co/ TPA/ Broker/ Healthcare Industry will be preferred.
-
Project Manager
3 weeks ago
Mumbai, India Ncr Atleos Full timeJob Description - Act as single point of contact for client and internal team for the assigned TIS deployment shifting projects - Co-ordinate with TPA vendor and NCR internal team for project execution. - Co-ordinate with TPA vendors to ensure timely delivery and installation of their equipment. - Tracking progress of deployment and ensure deployment is done...
-
Doctors (Health Tpa Mediclaims) Bams\bhms
1 week ago
Vidyavihar, Mumbai, Maharashtra, India Tresbien HR Staffing Full timeGreetings! Hiring Doctors (BAMS\BHMS) Medical Officers for a TPA Health\Mediclaims for a Healthcare TPA Co. Location - Vidyavihar, Mumbai Experience - 5 years Qualification - BHMS\BAMS Industry - Healthcare Role - Healthclaims Medical Officer Job Profile - Medical Scrutiny. Provide Medical opinion for Health Insurance Claims. Processing of Cashless...