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 perks 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 18 000 00 - 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

📌 Requirement For Hospital Tpa (Maharashtra)
🏢 Mandke Hospital Support Services
📍 Maharashtra