Job description

Key Responsibilities:
Handle and process cashless claims efficiently and within timelines.
Coordinate with TPAs, insurance companies, and internal departments for smooth processing of patient admissions and discharges.
Manage pre-authorization, enhancement, and final approval processes for all cashless patients.
Ensure accurate and timely documentation for CGHS, GIPSA, and private insurance claims.
Track claim status, follow up on pending claims, and ensure timely reimbursements.
Maintain up-to-date records and MIS reports.
Coordinate with patients regarding insurance queries and documentation needs.
Ensure compliance with standard protocols and hospital policies.

Requirements:
Minimum 2 years of experience in hospital TPA operations,



specifically with CGHS, GIPSA, and anywhere cashless networks.
Robust understanding of cashless claims and insurance processes.
Proficiency in Microsoft Excel and hospital billing software.
Positive communication and interpersonal skills.
Ability to work under pressure and handle multiple tasks.

Interested candidates can WhatsApp their resume to Neha Gala: +91-XXXXXXXXXX

Job Types: Full time, Permanent

Pay: Up to ₹28,000.00 per month

Education:
Bachelor's (Required)

Work Location: In person

📌 Tpa Executive Pimpri Chinchwad (Pimpri-Chinchwad)
🏢 Mumbai Oncocare Center
📍 Pimpri-Chinchwad