Key Responsibilities:
Handle end-to-end TPA, Insurance and Cashless Claim processes.
Coordinate for pre-authorization, approval, enhancement, discharge approval and final claim submission.
Handle ECHS, CGHS, Ayushman Bharat (PM-JAY) and other panel cases.
Verify patient eligibility, documents, insurance coverage and required approvals.
Coordinate with doctors, billing, medical records and other departments for claim documentation.
Follow up with TPAs/insurance companies for pending approvals, queries, deductions and settlements.
Resolve patient/attendant queries related to cashless treatment and claims.
Maintain records of approved, pending, rejected and settled claims.
Prepare daily/monthly TPA MIS and outstanding reports.
Ensure timely and accurate submission of claims as per TPA/panel guidelines.
Qualification & Experience:
Graduate in any discipline; Hospital Administration/Healthcare Management preferred.
2–5 years of relevant experience in TPA, insurance, hospital billing or cashless claims.
Valuable communication, coordination and MS Excel skills.
Knowledge of TPA, ECHS, CGHS and Ayushman Bharat processes preferred
Can Apply-+91-XXXXXXXXXX
Pay: ₹20,000.00 - ₹22,000.00 per month
Advantages:
Provident Fund
Work Location: In person
📌 Tpa Coordinator Daryaganj (India)
🏢 Dr. Shroff's Charity Eye Hospital
📍 India
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