Contact-(phone hidden)

- Manage end-to-end TPA and insurance desk operations for the hospital.

- Ensure timely processing of pre-authorizations, approvals, and discharge cases.

- Coordinate with TPAs, insurance companies, patients, doctors, and internal departments.

- Monitor claim submission, documentation, billing, and settlement processes.

- Ensure accurate and timely submission of insurance/TPA claims.

- Follow up on pending approvals, queries, deductions, and outstanding claims.

- Resolve claim-related discrepancies and coordinate for timely closure.

- Ensure compliance with TPA, insurance, hospital, and regulatory guidelines.

- Monitor claim rejection, denial, and deduction trends and take corrective action.





- Maintain accurate MIS and prepare regular reports on TPA performance and collections.

- Track outstanding amounts and coordinate with the billing/accounts team for recovery.

- Lead and guide the TPA desk team to achieve operational and financial targets.

- Ensure proper documentation and maintain records for audits and inspections.

- Develop solid working relationships with key TPA and insurance representatives.

- Drive process improvements to enhance patient experience, turnaround time, and revenue realization.

Pay: ₹40,000.00 - ₹70,000.00 per month

Work Location: In person

📌 TPA Manager (Kangra)
🏢 Fortis Hospital Kangra
📍 Kangra