Responsibilities:

Cashless Processing: Check patient insurance policy, initiate cashless requests, follow up with TPA for approvals, extensions, and enhancements.

Documentation: Prepare and submit claim documents, final bills, discharge summaries, investigation reports to TPA within TAT.

Patient Coordination: Counsel patients/relatives regarding policy coverage, co-pay, non-payable items, and deposit requirements.T

PA Follow-up: Daily follow-up with all TPAs/GIC for pending approvals, queries, and claim settlements.

Billing Coordination: Coordinate with billing & IPD desk for provisional bills, final bill preparation, and deductions.

Reporting: Maintain daily MIS of admissions, cashless, rejections, and outstanding claims.

Empanelment Support: Assist in TPA/GIC empanelment and renewal documentation.Query Resolution: Resolve all TPA and patient queries promptly to ensure smooth discharge

Work Location: In person

📌 Tpa Executive Kamothe
🏢 SAI SAMARTH HOSPITAL
📍 Kamothe