TPA Coordinator (India)

TPA Coordinator (India)

03 Aug
|
LMH healthcare services Private
|
India

03 Aug

LMH healthcare services Private

India

- Handle cashless admission requests for insured patients
- Verify patient insurance details, policy coverage, and eligibility
- Submit pre-authorization requests to TPAs/insurance companies
- Follow up regularly to obtain timely approvals
- Collect and prepare required documents (ID proof, insurance card, medical records, estimates, discharge summaries)
- Ensure accuracy and completeness of documents before submission
- Coordinate final bill approval and claim settlement
- Track claim status and resolve discrepancies or rejections
- Act as the single point of contact between hospital and TPAs/insurance companies
- Maintain strong working relationships with insurance representatives
- Stay updated on policy changes and TPA requirements
- Guide patients and attendants regarding cashless procedures and documentation
- Coordinate with doctors, nursing staff,



billing, and admission desks
- Communicate approval status, shortfalls, and exclusions clearly to patients
- Maintain records of cashless cases, approvals, and settlements
- Ensure compliance with hospital policies and insurance guidelines
- Prepare daily/monthly cashless case reports

Job Type: Full-time

Pay: ₹20,000.00 - ₹35,000.00 per month

Perks:

- Leave encashment
- Provident Fund

Application Question(s):

- Are you located in Borivali or near by borivali ?
- Highest Qualification ?

Education:

- Bachelor's (Preferred)

Experience:

- TPA executive: 1 year (Preferred)

Work Location: In person

📌 TPA Coordinator (India)
🏢 LMH healthcare services Private
📍 India

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