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 (India)
🏢 Drishti eye hospital panchkula
📍 India