Need a TPA person for Multi-speciality hospital

3 days ago

Pune, Maharashtra, India Medico Hub Full time ₹ 2,00,000 - ₹ 6,00,000 per year

Contact Mr Nishant Chaudhary WhatsApp

Industry & Sector: Healthcare — Multi-speciality hospital delivering inpatient and outpatient clinical services, surgical care and allied diagnostics in the Pune (Talegaon) region. This on-site role supports hospital revenue-cycle operations and insurer/TPA relationships to ensure seamless patient admission and claim settlement.

Primary job title: TPA Coordinator

About the Opportunity

We are hiring an experienced TPA Coordinator to join a multi-speciality hospital in Talegaon, Pune (Maharashtra). The role is fully on-site and focuses on managing third-party administrator (TPA) interactions, processing cashless and reimbursement claims, and ensuring timely claim settlements while maintaining clinical and billing compliance.

Role & Responsibilities
  • Act as the primary liaison with TPAs and insurance providers for cashless admissions, pre-authorisations and claim settlements.
  • Verify patient insurance coverage, validate documentation and complete pre-authorization workflows within TPA portals.
  • Coordinate with clinical teams and billing department to compile claim dossiers, submit final bills and follow up for settlement.
  • Manage claim follow-ups, chase outstanding payments, and resolve discrepancies or denials with evidence-based appeals.
  • Maintain accurate records of authorisations, claim statuses and communications; escalate unresolved cases to management.
  • Support process improvements for faster claim turnaround and collaborate on audit readiness and compliance checks.
Skills & Qualifications

Must-Have

  • Graduate or diploma holder with proven experience in hospital TPA operations
  • Hands-on experience with cashless authorisation and pre-authorization processes
  • Demonstrable knowledge of medical billing and claim settlement workflows
  • Experience using TPA portals and managing end-to-end claim submissions
  • Strong tracking and documentation skills; ability to manage multiple active claims
  • Willingness to work on-site at Talegaon, Pune

Preferred

  • Prior experience in a multi-speciality hospital setting
  • Familiarity with Hospital Information Systems (HIS) or EHR platforms
  • Proficiency in Marathi/Hindi and English for local TPA and patient interactions
Benefits & Culture Highlights
  • Stable on-site role within a multi-speciality hospital with direct impact on patient experience and revenue cycle.
  • Opportunity to work cross-functionally with clinical, billing and admin teams and grow into senior RCM/TPA roles.
  • Competitive compensation aligned with experience and local market standards (Talegaon, Pune).

To apply, candidates based in or near Talegaon/Pune with demonstrated TPA and hospital billing experience are encouraged to submit their resume and a brief summary of prior TPA workflows managed.

  • Need a TPA person for Multi-speciality hospital

    5 days ago

    Pune, Maharashtra, India Medico Hub Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Contact Mr Nishant Chaudhary WhatsApp Industry & Sector:Healthcare — Multi-speciality hospital delivering inpatient and outpatient clinical services, surgical care and allied diagnostics in the Pune (Talegaon) region. This on-site role supports hospital revenue-cycle operations and insurer/TPA relationships to ensure seamless patient admission and claim...

  • Multi-speciality Hospital Looking for Marketing Person

    1 day ago

    Pune, Maharashtra, India Medico Hub Full time ₹ 5,40,000 - ₹ 10,00,000 per year

    Contact Mr Nishant Chaudhary WhatsApp Industry & Sector: A multi‑speciality hospital operating in the healthcare and clinical services sector, providing outpatient, inpatient, and surgical care for local communities in Talegaon, Pune. We are expanding our patient services and need a dynamic marketing leader to grow service lines, elevate brand presence,...

  • Marketing head For Multi-speciality Hospital

    3 days ago

    Pune, Maharashtra, India Medico Hub Full time ₹ 5,40,000 - ₹ 10,00,000 per year

    Contact Mr Nishant Chaudhary WhatsApp Industry & Sector:A multi‑speciality hospital operating in the healthcare and clinical services sector, providing outpatient, inpatient, and surgical care for local communities in Talegaon, Pune. We are expanding our patient services and need a dynamic marketing leader to grow service lines, elevate brand presence, and...

  • Admission Executive

    3 days ago

    Pune, Maharashtra, India Noble Hospital Full time ₹ 3,00,000 - ₹ 6,00,000 per year

    Job Title: Admission ExecutiveDepartment: AdmissionReporting To: HODLocation: PuneJob Summary:The Admission Executive is responsible for handling the admission and registration of patients efficiently and courteously. This role involves coordinating with doctors, nursing staff, billing, and insurance departments to ensure a smooth and accurate admission...

  • CGHS Billing

    3 days ago

    Pune, Maharashtra, India Deccan Hardikar Hospital Full time ₹ 16,80,000 - ₹ 24,00,000 per year

    Job Summary:We are seeking a detail-oriented and experienced CGHS Billing Executive to handle billing processes related to the Central Government Health Scheme (CGHS). The ideal candidate should have prior experience in CGHS or TPA billing in a hospital setting and be familiar with documentation, submission protocols, and claim tracking.Key...

  • Chief Executive Officer

    5 days ago

    Pune, Maharashtra, India JeevanJyoti Super Speciality Hospital Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    Company DescriptionJeevanJyoti Super Specialty Hospital is premier multi-specialty tertiary care hospital in Pimpri Chinchwad , acknowledged globally as a center of medical excellence. The hospital has built a strong foundation of state-of-the-art facilities, top medical expertise, and a commitment to research, education, and charitable work. It serves...

  • Corporate Sales Executive

    2 weeks ago

    Pune, Maharashtra, India Surya Hospital Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Duties & Responsibilities:Creating powerful brand image for the hospital amongst the corporates, schools & RWAs in the assigned geographiesMaintaining, generating & enhancing revenue for the hospitalMaintain strong relationships & enhance tie ups with corporate doctors, nursing homes, Corporates, TPAs & Schools.Ensure planning & execution of events in...

  • Hospital Marketing Executive

    1 day ago

    Pune, Maharashtra, India RISING MEDICARE HOSPITAL Full time ₹ 88,800 - ₹ 60,00,000 per year

    Job Summary:We are looking for a proactive and goal-oriented Marketing Executive to support the hospital's growth by building strong relationships with consultants, doctors, and healthcare professionals. The role focuses on increasing patient footfall through doctor referrals, new consultant tie-ups, and outreach initiatives.Key Responsibilities:Identify and...

  • Personal Assistant

    3 days ago

    Pune, Maharashtra, India Muttha Associates Full time ₹ 40,00,000 - ₹ 80,00,000 per year

    Role: Personal Assistant (Business + Personal)Reports to: Founder's OfficeLocation: Pune (travel as needed)Business: Real Estate – Muttha Group (projects in Pune, Mumbai, Goa)Role SummaryA hands‑on Personal Assistant who owns end‑to‑end support across business and personal for the Founder. You'll orchestrate calendars, travel (domestic &...

  • Assistant General Manager

    2 weeks ago

    Pune, Maharashtra, India Jehangir Hospital Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Role & responsibilitiesJob Description:Corporate Business DevelopmentIdentify, develop, and manage corporate clients, CGHS, TPAs, PSUs, insurance companies, and government bodies.Lead negotiations for corporate empanelments and service pricing agreements.Expand B2B markets including health check-ups, occupational health, and on-site medical services.Strong...