Key Responsibilities: Pre-Authorization & Admission Verify patient eligibility for TPA/insurance advantages. Collect and process required documents for pre-authorization. Obtain approval from TPA companies prior to surgeries and procedures. Educate patients and relatives about insurance process and timelines. Documentation & Coordination Maintain updated files for all empaneled TPAs and insurance providers. Ensure proper documentation of patient records as per TPA norms. Coordinate with consultants, medical records, and billing teams for documentation accuracy. Claims Processing Prepare and submit final bills, discharge summaries, and related documents to TPAs. Submit claims within stipulated timelines to avoid delays. Follow up rigorously on pending and rejected claims. Resolve discrepancies and ensure claim resubmission if required.