TPA EXECUTIVE [AYURVEDA] (Chandigarh)

TPA EXECUTIVE [AYURVEDA] (Chandigarh)

09 Aug
|
7 Whole Essentials
|
Chandigarh

09 Aug

7 Whole Essentials

Chandigarh

Yukti Herbs Multispeciality Ayurveda & Panchakarma Hospital is looking for an experienced TPA Executive to manage insurance, TPA, and cashless-related processes specifically for an Ayurveda hospital. The candidate should have good knowledge of hospital documentation, claim processing, pre-authorizations, and coordination with TPAs/insurance companies.

Key Responsibilities

- Handle TPA and insurance-related documentation for IPD patients.

- Coordinate for cashless approvals, pre-authorizations, and claim submissions.

- Prepare and verify patient files as per TPA requirements.

- Coordinate with doctors and the billing/MRD team for complete documentation.

- Ensure timely submission of required documents and claims.

- Follow up with TPAs and insurance companies regarding approvals and claim status.

- Handle queries, deficiencies, and re-submission of documents.

- Maintain proper records of all TPA cases and claims.

- Ensure documentation is complete and compliant with hospital and TPA guidelines.

- Coordinate during patient admission,



treatment, discharge, and final claim settlement.

Requirements

- Graduate in any discipline; healthcare/insurance-related qualification preferred.

- 1–3 years of experience in TPA/insurance/hospital billing.

- Experience in an Ayurveda hospital will be an added advantage.

- Good knowledge of hospital documentation and medical terminology.

- Valuable communication and coordination skills.

- Basic knowledge of MS Office/Excel.

- Ability to manage multiple cases and follow up effectively.

Preferred Skills

- Knowledge of Ayurvedic treatment and Panchakarma documentation will be a plus.

- Experience with cashless/insurance processes.

- Good understanding of IPD files, discharge summaries, bills, prescriptions, and supporting documents.

- Strong attention to detail.

Pay: ₹20,000.00 - ₹30,000.00 per month

Work Location: In person

📌 TPA EXECUTIVE [AYURVEDA] (Chandigarh)
🏢 7 Whole Essentials
📍 Chandigarh

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