Tpa Coordinator Borivali (India)

Tpa Coordinator Borivali (India)

24 Aug
|
LMH healthcare services Private
|
India

24 Aug

LMH healthcare services Private

India

Handle cashless admission requests for insured patients
Verify patient insurance details, policy coverage, and eligibility
Submit pre-authorization requests to TPAs/insurance companies
Follow up regularly to obtain timely approvals
Collect and prepare required documents (ID proof, insurance card, medical records, estimates, discharge summaries)
Ensure accuracy and completeness of documents before submission
Coordinate final bill approval and claim settlement
Track claim status and resolve discrepancies or rejections
Act as the single point of contact between hospital and TPAs/insurance companies
Maintain robust working relationships with insurance representatives
Stay updated on policy changes and TPA requirements
Guide patients and attendants regarding cashless procedures and documentation
Coordinate with doctors, nursing staff,



billing, and admission desks
Communicate approval status, shortfalls, and exclusions clearly to patients
Maintain records of cashless cases, approvals, and settlements
Ensure compliance with hospital policies and insurance guidelines
Prepare daily/monthly cashless case reports

Job Type: Full time

Pay: ₹20,000.00 - ₹35,000.00 per month

Perks:
Leave encashment
Provident Fund

Application Question(s):
Are you located in Borivali or near by borivali ?
Highest Qualification ?

Education:
Bachelor's (Preferred)

Experience:
TPA executive: 1 year (Preferred)

Work Location: In person

📌 Tpa Coordinator Borivali (India)
🏢 LMH healthcare services Private
📍 India

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