We are looking for an experienced TPA Manager to manage insurance/TPA coordination, cashless approvals, claims, and billing processes in the hospital.
Key Responsibilities:
- Manage TPA and insurance desk operations.
- Coordinate cashless approvals and pre-authorizations.
- Ensure timely and accurate claim submission and settlement.
- Coordinate with patients, insurance companies, and TPAs.
- Monitor pending/rejected claims and resolve discrepancies.
- Ensure proper documentation and compliance with TPA/insurance guidelines.
- Coordinate with billing, medical, and accounts departments.
Requirements:
- Graduate, preferably in Healthcare/Hospital Management.
- 3–5 years of experience in hospital TPA/insurance operations.
- Good communication, coordination, and problem-solving skills.
- Knowledge of cashless and insurance claim processes.