Job Opening:TPA Manager

Position Overview
- Role: Manager (TPA)
- Location: Patna, Bihar
- Experience Required:3-6 years in TPA operations, health insurance, or hospital billing/insurance desk
- Education:Graduate in any discipline; MBA in Healthcare/Insurance or BBA preferred
- Compensation: ₹30,000 - ₹35,000 per month (Depending on experience)

Key Responsibilities

1. TPA Coordination & Empanelment
- Liaise with TPAs, insurance companies, and corporate clients for cashless approvals.
- Manage hospital empanelment process with new TPAs and insurers to expand network.
- Negotiate tariffs, packages, and credit terms to maximize hospital revenue.

2. Claims & Billing Management
- Oversee end-to-end claim lifecycle: pre-auth, documentation, submission, follow-up, and settlement.
- Ensure accurate and timely filing to minimize rejections and deductions.
- Conduct regular audits of processed claims and maintain zero pendency reports.

3. Operations & Patient Support
- Analyze TPA data to track claim TAT, approval ratios, and revenue leakage.




- Supervise and train the insurance desk team on documentation and IRDAI guidelines.
- Ensure absolute compliance with IRDAI regulations, insurance protocols, and hospital SOPs for cashless treatment.

Required Skills & Qualifications
- Technical Knowledge:Deep understanding of health insurance policies, ICD codes, tariff structures, and major TPA/insurance workflows in Bihar.
- Software Skills:Hands-on experience with HIS/HMS software and TPA portals (e.g., Medi Assist, MD India, Raksha, FHPL).
- Core Competencies: Strong analytical mind, sharp follow-up and negotiation skills, and excellent team management abilities.

What We Offer

Competitive salary aligned with industry standards.

Opportunities for professional growth and leadership.

A supportive and safety-first working setting.

Pay: ₹360,000.00 - ₹420,000.00 per year

Work Location: In person

📌 Tpa Manager (Patna)
🏢 JYOTI PUNJ HOSPITAL
📍 Patna