- TPA Coordinator 1. To co-ordinate with cashless patients, TPAs / Insurance companies and corporate for smooth functioning of cashless treatment provided to the patient.
- To check the details of Insurance patients admissions who are admitted after office hours - late evening, night & early morning. To coordinate with cashier, floor executive and duty admin supervisor in this regard.
- To interact with the patients / their attenders regarding their ailments – advised for admission.
- To send the pre-authorization forms to the concerned TPAs and to follow-up till receipt of initial approval.
- To send appropriate reply to the queries (if any) raised by Insurance people.
- To submit the discharge documents for approval (enhancements) for the discharge declared patients and follow till receipt of receipt of approval.
- Handling problems related to authorization, rejection of claim and difficult issues or queries etc.
- Resolving patient complaints regarding insurance matters.
- To prepare bill the insurance patients after the discharge and co-ordinate with the billing staff in bill preparation and submission.
- To coordinate the billing staff in proper filling of process documents and acknowledgements.
📌 TPA Coordinator (Chennai)
🏢 Sugam Medical Services Private
📍 Chennai
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