We are looking for a knowledgeable and detail-oriented Coordinator to manage and oversee compliance and processes related to NABH accreditation, Ayushman Bharat, CGHS/ECHS panels, and TPA/Insurance at a reputed Eye Hospital in Gurgaon. The ideal candidate must be well-versed in healthcare regulatory requirements and third-party billing systems, with excellent coordination and documentation skills.
Key Responsibilities:
- Handle all processes and documentation related to NABH accreditation and ensure adherence to quality standards and protocols.
- Manage registrations, approvals, and billing for Ayushman Bharat Yojana, CGHS, and ECHS schemes.
- Coordinate with TPA companies and insurance providers for patient pre-authorization, claims processing, and timely settlements.
- Maintain accurate records of empanelment and ensure compliance with guidelines from government and insurance bodies.
- Liaise with internal departments including billing, accounts, and patient counselling for smooth operations.
- Stay updated with policy changes, documentation formats, and digital submission portals.
- Prepare and submit reports to management regarding empanelment performance and claim status.
Required Skills & Qualifications:
- Graduate in any discipline (Preference: Hospital Administration or Healthcare Management).
- Minimum 2–4 years of experience in a similar role in a NABH-accredited hospital or eye care institution.
- In-depth knowledge of Ayushman Bharat, CGHS, ECHS, and TPA/Insurance procedures.
- Strong organizational and administrative abilities.
- Computer proficiency with experience in hospital software, MS Office, and online claim portals.
- Good communication skills in English and Hindi.
Preferred Qualifications:
- Experience working in a specialty or eye hospital setting.
Salary: As per industry standards and based on experience.
:
Job Types: Full-time, Permanent
Pay: ₹30,000.00 - ₹45,000.00 per month
Benefits
- Health insurance
- Provident Fund
Work Location: In person
📌 TPA Co-ordinator (Gurugram)
🏢 Dr Sethi's Eye Center
📍 Gurugram
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