Overview: Coordinates daily claim operations between network hospitals and the internal TPA/insurance claims team for seamless cashless approvals and processing.
Key Responsibilities:

- Hospital Coordination: Manage cashless approvals, pre-authorizations, and daily hospital desk queries.
- Document Verification: Verify medical records, bills, and discharge summaries for accuracy before processing.
- Query Resolution: Resolve claim discrepancies between medical adjudication teams and hospital staff to minimize delays.
- Process Tracking: Monitor claims lifecycle to ensure strict adherence to turnaround times (TAT).

Key Requirements:

- Bachelor’s degree.
- 1 year experience in hospital desk ops, claims, or provider coordination (TPA/Insurance).
- Knowledge of health insurance workflows, medical terms, and MS Excel / Google Sheets.
- Strong written English and spoken proficiency in Hindi, English, and Gujarati.

Share CV - [email protected]

Pay: ₹20,000.00 - ₹25,000.00 per month

Advantages:

- Health insurance
- Life insurance
- Paid sick time
- Paid time off
- Provident Fund

Education:

- Bachelor's (Required)

Work Location: In person

📌 Hospital Provider Partnership (Ahmedabad)
🏢 MEDI ASSIST INSURANCE TPA PRIVATE
📍 Ahmedabad