Contact-+91-XXXXXXXXXX
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