TPA Coordinator

**Job Title**: TPA Billing Executive **Department**: Billing / Accounts **Reports To**: Billing Manager / TPA Coordinator / Accounts Head **Location**: Jabalpur Hospital & Research Centre **Job Summary**: The TPA Billing Executive is responsible for managing and processing cashless and reimbursement claims through various Third-Party Administrators...

**Key Responsibilities**: **1. Insurance Coordination & Approvals** - Liaise with **TPAs and insurance companies** for pre-authorization and claim processing. - Ensure timely **cashless approvals** for inpatient admissions and procedures. - Regularly follow up on **pending approvals, claim rejections, and reimbursements**. - Provide **insurance eligibility...

**Job Title**: TPA & Mediclaim Executive **Location**: Indore **Salary**: ₹20,000 - ₹35,000 per month (based on experience) **Job Type**: Full-time **Job Summary**: **Key Responsibilities**: - Coordinate with TPAs and insurance companies for cashless approvals and claim settlements. - Handle patient admission and discharge processes related to...

1. Claims ProcessingVerify, process, and submit insurance claims with accurate documentation. Track claim status, address rejections, and handle appeals if necessary. 2. Patient AssistanceGuide patients on claim procedures, coverage details, and exclusions. Assist with pre-authorizations for treatments as required. 3. Coordination with Insurance...

Claims Management: Coordinate with TPAs for pre-authorization, cashless treatment approvals, and claims processing. Verify documents and ensure accurate and timely submission of claims. Track claim statuses and follow up on pending or rejected claims. Patient Coordination: Guide patients on eligibility and processes for PMJAY and TPA-related services. Ensure...

TPA & Insurance CoordinationAct as the primary liaison between the hospital and all empaneled TPAs and insurance companies.Ensure all documentation required for cashless and reimbursement claims is complete and submitted on time.Cashless AuthorizationFacilitate the process of obtaining pre-authorization approvals for cashless treatments.Monitor turnaround...

We Are Hiring: Hospital ManagerLocation: BhopalExperience: 3–10 Years (Healthcare/Hospital Management experience preferred)Qualification: MBA Healthcare / Hospital Management / EquivalentJob Type: Full-timeKey ResponsibilitiesHospital की daily operations को smoothly run करनासभी departments (OPD, IPD, Billing, TPA, Nursing, Admin)...

**Claims Processing**:Handling all stages of insurance claims, from initial submission to final settlement, including verifying eligibility, processing claims, and ensuring accurate and timely payments. - **Coordination with Insurance Companies**:Liaising with various insurance companies to facilitate smooth claim processing and address any issues that may...

**Required Skills**: - Proficiency in MS Excel (VLOOKUP, Pivot Tables, Charts, Macros) - Knowledge of Google Sheets, Power BI, or Tableau is a plus - Strong analytical and problem-solving skills - Attention to detail and ability to work with large datasets - Good communication and coordination abilities will responsible to handle all the activities related...

The Mediclaim Executive is responsible for coordinating and processing insurance claims related to patient admissions and treatments. The role involves end-to-end handling of pre-authorization, documentation, claim submission, and follow-up with Third Party Administrators (TPAs) or insurance companies, ensuring timely approvals and payments. **Key...