Hiring for Hospital TPA

2 days ago


Andheri, Maharashtra, India Mandke Hospital Support Services Ltd Full time ₹ 1,80,000 - ₹ 3,00,000 per year

A TPA (Third Party Administrator) job in a hospital involves acting as a liaison between patients, hospitals, and insurance companies to process claims, manage health insurance policies, and resolve billing issues.

Key Responsibilities

  • Claim Management: Coordinate the end-to-end TPA process for insurance claims, from patient admission to discharge, ensuring accurate documentation and billing.
  • Insurance Verification: Review and verify patient health insurance coverage, eligibility, and policy benefits to ensure claims are processed within scope.
  • Liaison with Insurers: Act as the hospital's representative to interact with insurance companies and their TPAs, following up to clear claims and authorize treatments.
  • Patient Support: Guide patients on insurance processes, explain policy inclusions/exclusions, and provide information on claim status and reimbursement procedures.
  • Documentation & Records: Maintain accurate records of all patient and stakeholder interactions and process patient claims, ensuring the correct submission of information and documentation.
  • Portal Management: Handle and manage TPA online portals, which are used for submitting and tracking claims and other related transactions.
  • Reconciliation: Update and reconcile implant bills to ensure accurate financial records.
  • Reporting: Prepare and share regular reports, including MIS (Management Information System) reports, to inform management about TPA operations.

Job Types: Full-time, Fresher

Pay: ₹18, ₹25,000.00 per month

Benefits:

  • Health insurance
  • Provident Fund

Education:

  • Bachelor's (Preferred)

Experience:

  • TPA: 1 year (Preferred)

Language:

  • English (Preferred)

Work Location: In person



  • Andheri, Maharashtra, India Mandke Hospital Support Services Ltd Full time ₹ 6,85,000 - ₹ 12,00,000 per year

    Dear Candidate,We have an requirement for Regional Manager.Location : AndheriKey Responsibilities:Strategic Marketing & PlanningDevelop and execute regional marketing strategies aligned with the hospital's vision and business goals.Conduct market analysis to identify growth opportunities, competitor activities, and patient needs.Manage and optimize marketing...


  • Andheri, Maharashtra, India xponentiate Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    About SSOSpecialty Surgical Oncology (SSO) is one of India's fastest-growing platforms delivering affordable, high-quality cancer care, headquartered in Mumbai. Founded and led by a distinguished team of oncologists and healthcare experts, SSO is redefining surgical oncology through deep clinical expertise, doctor-led leadership, and scalable,...

  • HR Recruiter

    1 week ago


    Andheri East, Maharashtra, India Parashar Hospitality Solutions Pvt Ltd Full time ₹ 1,68,000 - ₹ 1,92,000 per year

    Parashar Hospitality Solutions Pvt Ltd:Parashar Hospitality Solutions Pvt Ltd is a dynamic company specializing in providing comprehensive services in the hospitality industry. They focus on delivering high-quality solutions to clients, ensuring a seamless experience in various sectors like catering, event management, and hospitality services. The company...


  • Andheri East, Maharashtra, India KONGE'S HOSPITALITY PRIVATE LIMITED Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    We're Hiring: Nightclub PR ExecutiveDo you have the charm, connections, and energy to light up the nightlife scene?We're looking for a PR Rockstar who can create buzz, bring in the right crowd, and make our club the city's most talked-about party destinationWhat You'll Do:Network with influencers, media, and celebritiesPromote exciting events, theme nights &...

  • HR Manager

    2 weeks ago


    Andheri, Maharashtra, India Aakraya Research LLP Full time ₹ 25,000 - ₹ 3,50,000 per year

    HR manager recruits, hires, and onboards staff, develops and implements HR policies, manages payroll and benefits, ensures compliance with labor laws, handles employee relations, conducts performance evaluations, and fosters a positive work environment. They also oversee training and development programs, monitor employee attendance, and provide HR data and...


  • Andheri, Maharashtra, India beBeeHospitality Full time ₹ 12,00,000 - ₹ 15,00,000

    Job Role:A commis chef is responsible for providing the highest level of hospitality service to hotel guests.Key Responsibilities:The assigned work area must be organized and orders put away efficiently.Food preparation and sales must meet Guest expectations within recommended time frames.Kitchen equipment such as braising pans, baking ovens, stoves, grills,...

  • Senior Sales Manager

    2 weeks ago


    Andheri, Maharashtra, India connect to success HR Full time ₹ 50,000 - ₹ 65,000 per year

    Sr. Sales ManagerExperience – 6 -8 YearsOur growing company is seeking to hire a Sr. Sales manager who will be responsible for supervising and organizing our sales team. You will be in charge of managing organizational sales by developing business plans, meeting planned goals, and coordinating with our marketing department on lead generation. You will also...


  • Andheri, Mumbai, Maharashtra, India Mandke Hospital Support Services Ltd Full time

    A TPA (Third Party Administrator) job in a hospital involves acting as a liaison between patients, hospitals, and insurance companies to process claims, manage health insurance policies, and resolve billing issues. **Key Responsibilities** - Claim Management: Coordinate the end-to-end TPA process for insurance claims, from patient admission to discharge,...


  • Andheri, Mumbai, Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Medi assist Company!! Hurry up Medi assist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Experience: looking for TPA background and clinical experience in health insurance. Education: BAMS,BDS ,BUMS, BHMS,BPT MPT & Bsc nursing. Shifts: Day shift Rotational 6 days working ( work from office) Job role :...

  • Medical Officer

    2 weeks ago


    Andheri, Mumbai, Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Medi assist Company!! Hurry up Medi assist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Experience: looking for TPA background and clinical experience in health insurance. Education: BAMS,BDS ,BUMS, BHMS,BPT MPT & Bsc nursing. Shifts: Day shift Rotational 6 days working ( work from office) Job role :...


  • Andheri, Mumbai, Maharashtra, India Acme Services Full time

    JOB RESPONSIBILITIES - Perform usual clerical duties and data entry for keeping record of all necessary information of the Organization on daily basis. - Checking hospital documents all for Empanelment. - Handling Team of Hospitals Empanelment. - Visit Hospitals meet Doctor’s and see hospital condition. - Cross Check Hospital Facilities and services. -...

  • Medical Officer-

    2 weeks ago


    Andheri East, Mumbai, Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Mediassist TPA Private Ltd.!! Hurry up Medi assist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Experience: looking for TPA background and clinical experience in health insurance. **Salary**: 3.5 to 4.5 LPA Education: BAMS,BDS ,BUMS, BHMS,BPT MPT & Pharm D. Shifts: Day shift Rotational 6 days working (...

  • Medical Officer

    2 weeks ago


    Andheri, Mumbai, Maharashtra, India Acme Services Full time

    Medical Officer hiring in TPA!! Location : Marol, Mumbai Qualification - BHMS, BAMS, BDS, BPT Pharm D,B Pharmacy ,B.Sc. Nursing Experience : 0 - 4 (Clinical / Non clinical ) Salary : 3 LPA - 4.5 LPA Job Description: - Processing of claims request received from the hospital - Proper scrutiny of the medical documents received from the hospital/ patient and...


  • Andheri, India Mandke Hospital Support Services Ltd Full time

    Dear Candidate, We have an requirement for Regional Manager. Location : Andheri Key Responsibilities: Strategic Marketing & Planning Develop and execute regional marketing strategies aligned with the hospital's vision and business goals. Conduct market analysis to identify growth opportunities, competitor activities, and patient needs. Manage and optimize...


  • Andheri, Mumbai, Maharashtra, India Tresbien HR Staffing Full time

    Greetings from Tresbien HR! Hiring Freshers CRM Mediclaims\Insurance Claims TPA for a Healthcare Insurance Co. Experience - Fresher OR 6 months Qualification Industry - Insurance\Healthcare Role - CRM - Healthclaims Back office process **Job Description**: - Co-ordinates with other departments for claim process. Enhances the customer...


  • Andheri, India HENGBOK Full time

    Key Responsibilities Recruitment & Hiring:Develop hiring plans, post job openings, screen applications, conduct interviews, and manage the complete hiring process for both front-of-house and back-of-house staff. Onboarding & Training:Plan and execute new employee onboarding sessions and coordinate various training programs to enhance staff skills and ensure...

  • Medical Officer

    5 days ago


    Andheri, Mumbai, Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Medi assist Company!! Hurry up Medi assist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Education: BAMS,BDS ,BUMS, BHMS,BPT ,MPT,MDS,MBBS,BPharma,Mpharma Shifts: Rotational Shifts ( work from office) Job role: To approve PAs based on the buckets allotted to each approver To inform the Network department...