A TPA (Third-Party Administrator) Coordinator acts as the primary link between a hospital, patients, and insurance companies to manage medical insurance claims and cashless hospital stays.

Key Responsibilities

- Verification: Check patient insurance coverage, policy limits, and eligibility right upon admission.

- Pre-Authorization: Submit pre-authorization forms and medical estimates to TPAs to get rapid approvals for cashless treatments and surgeries.

- Documentation: Gather, verify, and submit necessary medical records, investigation reports, discharge summaries, and final bills to insurers.

- Follow-Up: Track claim statuses, clear pending queries, and resolve billing issues with TPAs to ensure quick final settlements.

- Patient Guidance: Help patients and their families understand their coverage, exclusions, co-pays, and expected out-of-pocket costs.

- Internal Coordination: Work closely with the hospital billing,



accounts, and medical teams.

- Record Keeping: Maintain digital portal logs and Management Information System (MIS) reports on claim statuses

Requirements & Skills

- Education: A bachelor's degree in healthcare administration, business administration, or life sciences/nursing is often preferred.

- Experience: 6 months to 3 years of experience in hospital billing, insurance coordination, or claims processing.

- Knowledge: Familiarity with health insurance guidelines, TPA portals, medical terminology, and basic accounting/Excel.

- Soft Skills: Strong verbal communication, negotiation, organization, and multitasking abilities

Pay: ₹15,000.00 - ₹20,000.00 per month

Work Location: In person

📌 TPA Coordinator (Bokaro Steel City)
🏢 NOBLECARE CONSULTANCY
📍 Bokaro Steel City