A reputed multi-speciality hospital in Ankleshwar is looking for an experienced and detail-oriented TPA Executive to manage insurance and TPA-related processes and ensure smooth coordination between patients, hospital departments and insurance/TPA companies.
Key Responsibilities
- Handle day-to-day TPA and insurance-related activities for hospital patients.
- Process insurance cases from admission through discharge and final settlement.
- Handle pre-authorisation requests and coordinate with TPA/insurance companies.
- Prepare and submit required documents for insurance approvals and claims.
- Verify patient insurance details, eligibility and policy coverage.
- Coordinate with billing, medical, nursing and other hospital departments for required documentation.
- Follow up with TPAs and insurance companies regarding approvals, queries and claim settlements.
- Ensure accurate and timely submission of claim documents.
- Identify and resolve discrepancies or queries raised by TPAs/insurance companies.
- Maintain proper records of insurance cases, approvals,
claims and settlements.
- Coordinate with patients and their attendants regarding insurance-related queries.
- Follow hospital policies and insurance/TPA procedures.
Eligibility & Skills
- Graduate from a recognised institution.
- Minimum 2–3 years of experience preferred, preferably in hospital TPA, insurance or billing.
- Good knowledge of insurance documentation and claims processing.
- Experience handling pre-authorisations and discharge approvals.
- Good understanding of TPA and insurance processes.
- Solid follow-up and coordination skills.
- Excellent communication and interpersonal skills.
- Good attention to detail and documentation.
- Ability to work effectively in a fast-paced hospital environment.
- Experience with hospital billing/TPA software will be an advantage.
Salary ₹20,000 – ₹35,000 per month
Salary will be based on the candidate's relevant experience, skills and overall suitability for the role.
Why Join Us?
- Opportunity to work with a reputed multi-speciality hospital in Ankleshwar.
- Professional and supportive working environment.
- Exposure to hospital insurance and TPA operations.
- Opportunity for career growth and professional development.
Pay: ₹20,000.00 - ₹35,000.00 per month
Work Location: In person
📌 TPA Executive (Ankleshwar)
🏢 Bluestar Care and Support
📍 Ankleshwar
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