- Review patient records and assess medical necessity for TPA/insurance cases.
- Handle pre-authorizations, enhancements, discharge approvals, and TPA queries.
- Coordinate with consultants, nursing, billing, MRD, and other departments for required documents.
- Ensure timely and accurate submission of medical documents to TPAs/insurance companies.
- Follow up on pending approvals and resolve documentation/medical queries.
- Conduct regular CMO office rounds for follow-up of pending TPA cases and documentation.
- Maintain TPA records, MIS, and confidentiality of patient information.
- Support claim audits and ensure compliance with hospital/TPA guidelines.

Key Skills

- Billing accuracy Patient handling Problem solving Coordination with clinical departments Time management

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 TPA Doctor (Greater Noida)
🏢 Sarvodaya Jeevani Hospital
📍 Greater Noida