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Job Title: TPA Coordinator

Department: TPA (Third-Party Administrator)

Location: Panvel

Salary: ₹15,000 to ₹ 25,000 per month

Job Summary:

A multispeciality Hospital is looking for a dedicated and detail-oriented TPA Coordinator to join our team. The TPA Coordinator will be responsible for managing the interaction between the hospital and third-party administrators, ensuring smooth processing of insurance claims, and providing support to patients throughout the insurance verification and claim process. This is a full-time position based at our Khanda Colony, Panvel branch.

Key Responsibilities:

- Insurance Verification: Coordinate with insurance companies and third-party administrators to verify patient insurance details, coverage, and eligibility.
- Claims Processing: Handle all aspects of claim processing, including documentation, submission of claims, and follow-up to ensure timely settlement of claims.
- Patient Assistance: Assist patients in understanding their insurance coverage and guide them through the pre-authorization process.
- Data Management: Maintain accurate records of insurance claims, approvals, and denials. Ensure all relevant documentation is available and updated in the system.
- Coordination with Hospital Departments: Collaborate with various hospital departments to gather necessary information for insurance claims and approvals.
- Pre-Authorization: Ensure pre-authorization requests are processed for surgeries, procedures, and hospital admissions as per insurance guidelines.
- Billing Support:



Work closely with the billing department to resolve any discrepancies between hospital charges and insurance reimbursements.
- Follow-Up: Follow up with insurance companies regarding pending claims and payment status, ensuring timely resolution.
- Customer Service: Provide excellent service to patients and their families, addressing queries regarding insurance-related matters and resolving any issues that may arise.

Qualifications & Skills:

- Education: Graduate in any stream; a background in healthcare administration or insurance is a plus.
- Experience: Prior experience in TPA or insurance coordination in a hospital or healthcare setting is preferred.
- Skills:
- Strong communication skills (both verbal and written).
- Good organizational skills with attention to detail.
- Ability to work under pressure and meet deadlines.
- Basic knowledge of health insurance policies, procedures, and claim settlement processes.
- Proficiency in MS Office (Word, Excel) and hospital management software.
- Ability to handle sensitive patient information with confidentiality.

Additional Requirements:

- Positive attitude and willingness to work in a team-oriented environment.
- Ability to work flexible hours when necessary, including weekends and holidays.
- Basic understanding of medical terminology is a plus.

Advantages:

- Opportunity to work with a leading hospital in the Panvel region.
- Learning and development opportunities in the healthcare and insurance sector.

How to Apply: Interested candidates are invited to send their resume to [email protected] or call at (phone hidden).

Job Type: Full-time

Pay: ₹15,000.00 - ₹25,000.00 per month

Work Location: In person

Apply on Kit Job: kitjob.in/job/4m4017

📌 TPA Coordinator (Panvel)
🏢 Martech Simplified
📍 Panvel