TPA Executive

1 week ago

Kankarbagh Patna Bihar, India Bodhi Healthcare Private Limited Full time ₹ 12,00,000 - ₹ 36,00,000 per year

Position Title: TPA Executive / Insurance Coordinator

Qualification: Graduate/Hospital Management

Experience: 1 to 3 years (Corporate TPA/Insurance)

Purpose of the Role

To manage cashless and reimbursement processes for insured patients, ensuring accurate coordination between the hospital, insurance companies, and TPAs in compliance with NABH documentation standards.

Key Responsibilities

  • Coordinate with TPAs/insurance companies for preauthorization and claims processing.
  • Verify patient insurance documents and policy eligibility before admission.
  • Ensure timely submission of documents for preauthorization and discharge approval.
  • Maintain proper documentation of patient files for audit and compliance.
  • Coordinate with billing, front office, and medical teams for accurate claim details.
  • Track claim status, manage rejections, and ensure timely reimbursements.
  • Prepare daily MIS reports for pending and approved cases.

Skills & Competencies

  • Strong understanding of health insurance and cashless systems.
  • Excellent documentation and coordination skills.
  • Proficiency in hospital billing software and MS Office.
  • High integrity and attention to detail.

Qualification & Experience

Graduate (preferably in Commerce or Healthcare Management).

2–4 years' experience in TPA / insurance desk in a hospital setup.

Job Type: Full-time

Pay: ₹15, ₹30,000.00 per month

Benefits:

  • Cell phone reimbursement
  • Health insurance
  • Internet reimbursement
  • Leave encashment
  • Paid sick time
  • Paid time off
  • Provident Fund

Experience:

  • TPA: 1 year (Required)

Work Location: In person

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