ECHS / CGHS TPA Executive – Key Responsibilities

- Manage ECHS and CGHS patient registration, eligibility verification, and documentation.

- Coordinate with patients, hospital departments, and ECHS/CGHS authorities for smooth cashless treatment.

- Process pre-authorisation requests and ensure timely approvals for planned and emergency procedures.

- Prepare and submit medical claims, bills, discharge summaries, and supporting documents as per ECHS/CGHS guidelines.

- Verify patient documents, referrals, approvals, package rates, and treatment-related records.

- Coordinate claim submission, query resolution, and settlement of pending/rejected claims.

- Maintain accurate records of ECHS/CGHS patients, approvals, claims, and payments.

- Follow up with concerned authorities regarding claim status, discrepancies, and outstanding payments.

- Ensure compliance with applicable ECHS/CGHS rules, hospital policies, and billing procedures.

- Coordinate with the billing and accounts departments for reconciliation and payment tracking.

- Handle patient queries related to eligibility, approvals, billing, and claim status.

- Maintain confidentiality and accuracy of patient and financial records.

Work Location: In person

📌 ECHS/CGHS/TPA COORDINATOR (Panchkula)
🏢 Drishti eye hospital panchkula
📍 Panchkula