Job Summary - We are seeking a dedicated and experienced TPA Coordinator to join our healthcare team The ideal candidate should have hands-on experience in managing cashless and reimbursement processes under various government and private health insurance schemes including Mediclaim Swasthya Sathi West Bengal Health Scheme WBHS and Central Government Health Scheme CGHS Key Responsibilities - Claims Processing Documentation 1 Handle pre-authorization admission and discharge intimation for insured patients 2 Prepare and submit all necessary documents for claims under Mediclaim Swasthya Sathi WBHS and CGHS schemes 3 Coordinate with TPA Insurance companies for approval and claim settlement Patient Internal Coordination 1 Guide patients and their families regarding claim procedures eligibility and documentation 2 Liaise with doctors billing departments and internal teams to ensure accurate documentation and timely processing 3 Ensure correct entry and maintenance of data in hospital management systems Scheme-Specific Handling 1 Maintain updated knowledge of rules and claim processes for Swasthya Sathi WBHS CGHS and private Mediclaim policies 2 Handle empanelment and renewals for different schemes if required 3 Ensure compliance with scheme-specific billing codes package rates and SOPs Reporting Auditing 1 Maintain claim registers and generate periodic MIS reports 2 Follow up for pending approvals and payments with TPAs or scheme authorities 3 Assist in audits and ensure adherence to compliance standards Job Types Full-time Permanent Pay 20 000 00 per month Perks Health insurance Provident Fund Education Bachelor s Preferred Experience TPA Executive 3 years Required Work Location In person

📌 Tpa Coordinator (West Bengal)
🏢 Reliable Diagnostics - Khidirpur
📍 West Bengal