Key Responsibilities of a TPA Coordinator 1. Insurance Verification - Check patient insurance eligibility - Verify policy details and coverage limits 2. Cashless Claim Processing - Collect required documents from patients - Submit pre-authorization requests to TPAs/insurance companies - Coordinate approval for cashless treatment 3. Documentation Management - Maintain patient insurance records - Ensure all forms are correctly filled - Upload and organize medical documents, bills, discharge summaries, etc. 4. Coordination Between Departments - Communicate with: - Doctors - Billing department - Insurance companies - Patients and relatives - Follow up on pending approvals and queries 5. Claim Settlement - Assist in final bill settlement - Resolve claim discrepancies or rejections - Track claim status until completion 6. Patient Assistance - Explain insurance procedures to patients - Guide patients regarding:



- Required documents - Coverage limits - Approval timelines 7. Compliance and Reporting - Follow hospital and insurance regulations - Prepare daily/monthly reports of claims and approvals Required SkillsTechnical Skills - Knowledge of health insurance processes - Medical billing understanding - Documentation handling - Computer proficiency (Excel, hospital software) Soft Skills - Communication skills - Coordination ability - Problem-solving - Attention to detail - Patience and customer handling Educational Qualification Typically: - Graduate in any field - Preferred: - Hospital Administration - Healthcare Management - B.Com/BBA Pay: ₹12,000.00 - ₹18,000.00 per month Work Location: In person

📌 Tpa Coordinator (Wakad)
🏢 CLAIMIT COUNSALTANCY SERVICES
📍 Wakad