Tpa Coordinator

2 days ago

Mumbai Mumbai Suburban Thane, India Cellcure Cancer Centre Full time ₹ 2,50,000 - ₹ 7,50,000 per year

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 23 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.

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