Handle all TPA and insurance panel patients.
Verify patient eligibility and insurance coverage.
Process cashless admission formalities.
Prepare and submit pre-authorisation requests.
Follow up for approval and enhancement approvals.
Coordinate with doctors for clinical documents.
Handle Ayushman Bharat / PM-JAY cases.
Verify Ayushman beneficiary details and documents.
Process Ayushman pre-authorisation and claims.
Handle CGHS patient registration and billing.
Verify CGHS eligibility and required approvals.
Handle corporate and institutional panel patients.
Coordinate with TPA/insurance companies for approvals.
Coordinate with billing, medical records, pharmacy and clinical departments.
Arrange final discharge approval from TPA/panel.




Prepare and submit complete claim documents.
Follow up on pending claims and payments.
Handle insurance/TPA queries and objections.
Track rejected, approved and pending claims.
Monitor deductions and short settlements.
Maintain panel-wise records and claim trackers.
Ensure timely submission of bills and claims.
Maintain proper documentation and patient records.
Follow hospital SOPs and panel/insurance guidelines.
Assist in audits and resolve documentation discrepancies.

Pay: ₹20,000.00 - ₹40,000.00 per month

Advantages:
Versatile schedule

Work Location: In person

📌 Panel Executive Tilak Nagar
🏢 Aastha Hospital
📍 Tilak Nagar