- Handle pre-authorization requests for patients, verify insurance documents, and secure timely cashless approvals from insurance companies and TPAs.
- Prepare, review, and submit accurate medical bills, discharge summaries, and claim documents to insurance providers within set deadlines.
- Guide patients and their families through the insurance process, explaining cashless procedures, coverage limits, and required documentation.
- Upload patient medical files onto online TPA portals and courier hard copies of documents to insurance offices.
- Track pending and outstanding claims daily, coordinate with insurance adjusters, and resolve queries or billing discrepancies to explicit payments.
- Coordinate with the hospital's finance and accounts departments to reconcile payments, track receivables, and prepare daily or monthly MIS reports.
- Ensure all processes adhere to hospital policies, insurance guidelines, and regulatory requirements during internal and external audits.

📌 TPA Coordinator (Sahibzada Ajit Singh Nagar)
🏢 Yogis Ayurveda
📍 Sahibzada Ajit Singh Nagar