26 Oct
|
LIFE CARE FOUNDATION
|
Dera Bassi
26 Oct
LIFE CARE FOUNDATION
Dera Bassi
Organization: Life Care Foundation
Department: TPA / Corporate Business Operations
Job Location: Derabassi, Punjab
Employment Type: Full-time
About Life Care Foundation
Life Care Foundation is a healthcare organization providing affordable diagnostic services through its extensive network of charitable collection centres. We are looking for a dedicated and detail-oriented TPA Coordinator to manage medical examination assignments, coordinate home visits, prepare Medical Examination Reports (MERs), and ensure timely submission of reports through TPA portals.
Job Responsibilities
1. TPA Company Coordination
* Coordinate with TPA companies, insurance partners, and corporate clients to receive and process home-visit medical examination assignments.
- Maintain regular communication with TPA representatives regarding case allocation, requirements, pending cases, and report submissions.
- Ensure all assigned cases are completed within the prescribed turnaround time (TAT).
1. Home Visit Medical Coordination
* Coordinate with phlebotomists for home visits and medical examinations as per the requirements of each case.
- Schedule appointments, confirm patient availability, and communicate visit details to the concerned field staff.
- Monitor visit completion, sample collection, and any pending or rescheduled appointments.
- Resolve operational issues and escalate delays or incomplete cases when required.
1. Medical Examination Reports (MER)
* Prepare and compile Medical Examination Reports (MERs) accurately as per the prescribed TPA or insurance company format.
- Ensure that all required medical examination details, laboratory investigations,
and supporting documents are available before submission.
- Coordinate with authorized medical professionals and laboratory teams for any pending information or clarification.
- Maintain accuracy, confidentiality, and completeness of all medical records.
1. TPA Portal Management
* Upload and submit completed MERs, laboratory reports, and other required documents on the respective TPA portals.
- Track case status and ensure timely submission, acknowledgement, and closure of assignments.
- Follow up on rejected, incomplete, or pending submissions and take corrective action.
- Maintain proper digital records of submitted reports and portal transactions.
1. Business Records & MIS
* Maintain a comprehensive database of TPA business, including assignments received, visits completed, tests conducted, reports submitted, pending cases, and case status.
- Prepare daily, weekly, and monthly MIS reports for management review.
- Track business volumes, turnaround times, pending cases, and operational performance.
- Maintain records of TPA-wise business activity and support reconciliation of completed assignments, billing information, and payments where required.
Required Qualifications & Experience
- Graduate in any discipline; candidates with qualifications in Medical Laboratory Technology, healthcare administration, or related fields will be preferred.
- Prior experience in TPA coordination, insurance medical examinations, diagnostic laboratories, or corporate healthcare operations is preferred.
- Practical knowledge of MER preparation, laboratory investigations, and medical examination documentation is essential.
- Working knowledge of computer applications, MS Excel, email communication, and online portals.
- Solid coordination, follow-up, documentation, and time-management skills.
Preferred Candidate Profile
- Experience working with insurance companies, TPAs, diagnostic laboratories, or medical examination service providers.
- Ability to manage multiple cases simultaneously while maintaining accuracy and meeting deadlines.
- Familiarity with laboratory test names, medical examination workflows, and report requirements.
- Responsible, organized, and capable of maintaining confidential medical information.
Key Performance Indicators (KPIs)
- Timely completion and submission of assigned medical examination cases.
- Accuracy and completeness of MERs and supporting documents.
- Effective coordination with phlebotomists and TPA representatives.
- Reduction in pending cases, report rejections, and avoidable delays.
- Accuracy of business records and timely submission of MIS reports.
Compensation
Salary: Negotiable, based on qualifications and relevant experience.
Pay: ₹15,000.00 - ₹25,000.00 per month
Benefits
- Flexible schedule
Work Location: In person
📌 TPA Coordinator – Medical Examination & Laboratory Service (Dera Bassi)
🏢 LIFE CARE FOUNDATION
📍 Dera Bassi