TPA EXECUTIVE / SR. EXECUTIVE

Location: Kailash Hospital & Heart Institute, Noida – Sector 27
Department: TPA / Insurance

Position Overview

Kailash Hospital & Heart Institute is looking for an experienced TPA Executive / Sr. Executive to handle insurance and TPA-related activities, ensuring smooth coordination between patients, insurance companies, TPAs and internal hospital departments.

Eligibility & Requirements
Qualification: Graduate in any discipline.
Experience: Relevant experience in Hospital TPA / Insurance Desk preferred.
Valuable knowledge of cashless and reimbursement processes.
Experience in handling pre-authorisation, approvals and claim documentation.
Valuable understanding of insurance/TPA policies and procedures.
Solid communication and coordination skills.
Good knowledge of MS Office and hospital systems.
Ability to handle patients and attendants professionally.

Key Responsibilities
Handle cashless and reimbursement cases from admission to discharge.
Process and follow up on pre-authorisation requests with TPAs/insurance companies.
Coordinate with insurance companies and TPAs for timely approvals.




Verify patient insurance documents and eligibility.
Coordinate with doctors, billing, nursing and other departments for required medical documents.
Ensure timely submission of claim-related documents.
Follow up on pending approvals, queries and claim-related requirements.
Handle TPA/insurance queries and resolve issues within the required timeline.
Maintain proper records of cashless and reimbursement cases.
Assist in reducing claim pendency and ensuring smooth discharge processes.
Prepare required MIS/reports related to TPA and insurance cases.

Preferred Skills
TPA & Insurance Desk Operations
Cashless Authorization
Pre-Authorization & Claim Processing
Insurance Documentation
Hospital Billing Coordination
Patient/Attendant Handling
TPA & Insurance Company Coordination
Valuable Communication & Follow-up Skills

Interested candidates can share their updated CV.

Contact: Deepanshu – HR
Mobile: +91-XXXXXXXXXX

Work Location: In person

📌 Tpa Executive/sr Executive Noida (India)
🏢 Kailash Healthcare
📍 India