Job Description – TPA Executive / Cashless Coordinator

Department

TPA / Billing

Experience

4–5 years (Multispeciality Hospital preferred)

Reporting To

TPA Manager / Billing Head

Location

Ozone Multispeciality Hospital / Triveni Hospital

Job Purpose

To ensure smooth handling of cashless patients including pre-authorization, approvals, documentation, and claim processing while minimizing rejection and ensuring patient satisfaction.

Key Responsibilities

- Handle pre-authorization and eligibility verification.
- Coordinate with TPA/Insurance for approvals and queries.
- Manage inpatient documentation and updates.
- Ensure smooth discharge and billing approval.
- Maintain accurate claim files.
- Resolve queries and reduce rejections.
- Maintain daily MIS and reports.





Key Performance Indicators (KPI)

- Pre-authorization turnaround time
- Claim rejection rate
- Deduction percentage
- Patient satisfaction
- Documentation accuracy

Qualification

Graduate (Healthcare preferred). Certification in hospital administration is an advantage.

Skills Required

- Good communication and coordination
- Knowledge of TPA portals (Medi Assist, Vidal, FHPL etc.)
- Basic understanding of hospital billing and documentation
- Computer proficiency (Excel, HIS)

Pay: ₹20,000.00 - ₹25,000.00 per month

Advantages:

- Provident Fund

Work Location: In person

📌 TPA Executive (India)
🏢 Ozone Multispeciality Hospital
📍 India