Cashless Admission & Pre-Authorization: Handle cashless entry requests for insurance policies, corporate tie-ups, and government health schemes (like CGHS, ESI, or Railway beneficiaries).
Document Verification: Check patient eligibility, valid health cards, doctor referral letters, and policy entitlements.
Portal Management: Raise pre-authorisation requests and upload clinical notes, lab reports, and estimates onto respective TPA and insurance online portals.
Follow-ups: Coordinate actively with TPA doctors, insurance desk officers, and hospital treating physicians to transparent medical queries and rapid-track approvals.
Discharge & Billing Coordination: Work alongside the hospital billing and finance teams to reconcile final bills, manage deductions, and submit post-discharge claim files.
Patient Guidance: Assist patients and their families in understanding their coverage limits, co-pays, and claim status.





Required Skills & Qualifications
Education: Graduate (B.Com, B.Sc, BCA, or life sciences/paramedical background). Medical graduates or allied health diplomas (BAMS, BHMS, BDS) are frequently preferred for clinical/insurance assessment roles.
Experience: 0 to 5+ years of experience in hospital TPA desks, health insurance companies, or healthcare administration.
Key Competencies:
Knowledge of mediclaim policies, TPA guidelines, and tariff structures.
Familiarity with hospital management software (HMS) and MS Office (Excel).
Robust communication and negotiation skills for handling tense or anxious patients and insurer queries.

Pay: ₹10,000.00 - ₹28,000.00 per month

Work Location: In person

📌 Tpa Executive Echs, Cghs, Esic , Railway Only Experienced Lucknow (India)
🏢 CHARAK HOSPITAL & RESEARCH CENTRE
📍 India