Key Responsibilities 1 Patient Insurance Handling Explain cashless insurance TPA procedures to patients and attendants Verify insurance eligibility policy coverage and exclusions Collect and check required documents ID insurance card policy copy referral letter etc 2 Pre-Authorization Approval Prepare and submit pre-authorization requests for eye surgeries cataract retina LASIK glaucoma etc Coordinate with doctors for clinical notes diagnosis and treatment plans Follow up with TPAs insurance companies for timely approvals 3 Billing Claims Coordination Coordinate with billing department for package rates and itemized bills Ensure bills comply with TPA-approved rates and NABH guidelines if applicable Prepare and submit final claim documents after discharge Track claim status and follow up for payments and shortfalls 4 Documentation Records Maintain accurate patient insurance files and claim records Ensure proper documentation for audits and future references Handle denials deductions and clarifications raised by TPAs 5 Coordination Communication Act as a liaison between patients doctors nursing staff billing team and TPAs Update patients regularly on approval status and discharge formalities Handle patient queries related to insurance politely and empatheticall Skills Good knowledge of TPA health insurance processes Familiarity with ophthalmology procedures packages Strong communication and coordination skills Attention to detail and documentation accuracy Working knowledge of HIS billing software Key Competencies Patient-friendly attitude Ability to work under pressure Organized and follow-up oriented Ethical handling of confidential information Job Type Full time Pay 20 000 00 - 25 000 00 per month Work Location In person

📌 Tpa Coordinator (New Delhi)
🏢 PRAGATI EYE CENTRE
📍 New Delhi