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
Positive 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 Vasai Virar (Vasai-Virar)
🏢 Ozone Multispeciality Hospital
📍 Vasai-Virar