TPA Executive – Reputed Multi-Speciality Hospital | Ankleshwar

Job Title: TPA Executive
Location: Ankleshwar, Gujarat
Industry: Healthcare / Multi-Speciality Hospital
Employment Type: Full time
Qualification: Any Graduate
Experience: Minimum 2–3 years preferred
Salary: ₹20,000 – ₹35,000 per month

Job Description

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.
Valuable knowledge of insurance documentation and claims processing.
Experience handling pre-authorisations and discharge approvals.
Good understanding of TPA and insurance processes.
Robust follow-up and coordination skills.
Excellent communication and interpersonal skills.
Good

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