Job Title: Front Desk Cum TPA

Location: Guwahati(6 days & 9 hours)

Organization: Athena Behavioral Health

Website: - www.athenabhs.com

Join our growing healthcare team and be the first point of contact for patients, ensuring a smooth and qualified clinic experience.

Key Responsibilities:

Manage OPD appointments & scheduling

Welcome patients and manage front desk operations

Coordinate with doctors for smooth patient flow

Handle billing and payment processing

Maintain patient records and daily reports

Assist patients with queries and feedback

What We’re Looking For

- Excellent communication and interpersonal skills

- Organized, presentable, and patient-friendly personality

- Basic computer & billing system knowledge

- Prior clinic / hospital front desk experience preferred

TPA

Key Responsibilities

1. Claims Management

- Verify patient eligibility and policy coverage for mental health services.
- Process both cashless and reimbursement claims in accordance with insurer guidelines.
- Review claim documents, medical records, and bills to ensure accuracy and adherence to policy terms.
- Coordinate with billing departments of mental health clinics and hospitals to resolve discrepancies in claims or documentation.

2. Pre-Authorization & Treatment Coordination

- Manage the pre-authorization process for inpatient care, day-care treatment, or intensive mental health interventions.




- Ensure submission of all required documentation, reports, and consent forms to the insurer in a timely manner.
- Follow up with TPAs or insurers to secure authorization letters and address denials or queries promptly.

3. Patient & Provider Support

- Serve as the primary point of contact for policyholders seeking guidance on mental health benefits, coverage limits, and claim progress.
- Assist patients and families in navigating insurance procedures—particularly important during mental health crises or emergencies.
- Maintain and update a network of empaneled mental health hospitals and clinics to ensure access to cashless treatment options.

4. Administration & Compliance

- Issue and manage health cards with appropriate policy details for insured individuals.
- Maintain thorough digital records of claims, approvals, communications, and treatment histories.
- Ensure compliance with regulatory guidelines (such as IRDAI regulations in India) and mental healthcare laws.
- Support internal audits and contribute to process improvements to ensure operational efficiency and regulatory adherence.

Address- *Gog Gaon, Garoghuli (Ahomgaon),Mouza – Ramcharani,P.O. & P.S. – Garchuk,Guwahati – 781035,District – Kamrup (Metro), Assam

Pay: ₹15,000.00 - ₹25,000.00 per month

Benefits:

- Health insurance
- Provident Fund

Work Location: In person

📌 Front Desk Executive (GARCHUK)
🏢 Athena Behavioral Health
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