Key Responsibilities
Coordinate with various TPAs, insurance companies, and corporate clients for cashless and reimbursement cases.
Manage the complete process of pre-authorisation, admission approval, discharge approval, and claim submission.
Prepare and submit accurate documentation, medical records, bills, discharge summaries, and claim forms within stipulated timelines.
Coordinate with doctors, nursing staff, billing, accounts, and hospital administration for timely processing of insurance cases.
Follow up regularly with TPAs and insurance companies regarding pending approvals, queries, deductions, and claim settlements.
Maintain proper records of all cashless and reimbursement cases.
Ensure compliance with insurance company and TPA guidelines and hospital policies.
Handle patient and attendant queries related to insurance coverage, approvals, and claim procedures professionally.
Identify discrepancies in documents or bills and coordinate with concerned departments for correction.
Prepare daily, weekly, and monthly reports related to TPA cases, approvals, pending claims, and settlements.
Stay updated with changes in insurance policies, TPA procedures, and healthcare regulations.




Support the hospital team in improving the efficiency of the cashless and insurance process.

Required Qualifications & Skills
Graduate in any discipline; healthcare or hospital management qualification will be an advantage.
Minimum 2–4 years of experience in TPA, insurance coordination, or hospital billing.
Prior experience in an Ayurveda hospital or knowledge of Ayurveda treatment procedures is preferred and will be given priority.
Positive knowledge of cashless insurance processes, pre-authorization, claim documentation, and reimbursement procedures.
Solid communication and coordination skills.
Proficiency in MS Office, Excel, and hospital management software.
Ability to work under pressure and manage multiple cases simultaneously.
Valuable interpersonal skills and a patient-friendly attitude.

Preferred Candidate Profile Candidates with experience in Ayurveda hospitals, Panchakarma procedures, Ayurvedic treatment packages, and insurance coordination for inpatient and daycare services will be preferred.

Pay: ₹20,000.00 - ₹32,000.00 per month

Work Location: In person

📌 Tpa Coordinator Ayurveda Hospital Sahibzada Ajit Singh Nagar
🏢 7 Whole Essentials
📍 Sahibzada Ajit Singh Nagar