09 Sep
|
Bodhi Healthcare Private
|
Gaya
09 Sep
Bodhi Healthcare Private
Gaya
Position Title: TPA Executive / Insurance Coordinator
Qualification:Graduate/Hospital Management
Experience: 1 to 3 years (Corporate TPA/Insurance)
Purpose of the Role
To manage cashless and reimbursement processes for insured patients, ensuring accurate coordination between the hospital, insurance companies, and TPAs in compliance with NABH documentation standards.
Key Responsibilities
- Coordinate with TPAs/insurance companies for preauthorization and claims processing.
- Verify patient insurance documents and policy eligibility before admission.
- Ensure timely submission of documents for preauthorization and discharge approval.
- Maintain proper documentation of patient files for audit and compliance.
- Coordinate with billing, front office, and medical teams for accurate claim details.
- Track claim status, manage rejections, and ensure timely reimbursements.
- Prepare daily MIS reports for pending and approved cases.
Skills & Competencies
- Robust understanding of health insurance and cashless systems.
- Excellent documentation and coordination skills.
- Proficiency in hospital billing software and MS Office.
- High integrity and attention to detail.
Qualification & Experience
Graduate (preferably in Commerce or Healthcare Management).
2-4 years’ experience in TPA / insurance desk in a hospital setup.
Pay: ₹15,000.00 - ₹30,000.00 per month
Benefits:
- Cell phone reimbursement
- Health insurance
- Internet reimbursement
- Leave encashment
- Paid sick time
- Paid time off
- Provident Fund
Experience:
- TPA: 1 year (required)
Work Location: In person
📌 Tpa Executive (Gaya)
🏢 Bodhi Healthcare Private
📍 Gaya