- Graduate/Postgraduate in Hospital Administration, Healthcare Management, or a relevant field.
- Minimum 5 years of experience in hospital TPA and insurance operations preferred.
Key Responsibilities
- Manage day-to-day TPA and medical insurance operations.
- Handle cashless patient admissions and discharge processes.
- Manage pre-authorisation, approvals, claim submissions, and settlements.
- Coordinate with insurance companies and Third-Party Administrators.
- Handle claim queries, rejections, and pending payments.
- Ensure proper medical documentation and billing coordination.
- Manage ECHS, ESIC, Ayushman Bharat, and other government healthcare schemes, wherever applicable.
- Coordinate with doctors, billing, accounts, and hospital administration teams.
- Ensure timely claim processing and compliance with insurance guidelines.
Candidate Requirements
- Minimum 5 years of previous hospital experience.
- Robust knowledge of TPA, cashless insurance, and hospital billing procedures.
- Positive communication and coordination skills.
- Strong documentation and problem-solving abilities.
- Ability to independently manage TPA operations.
Salary: Negotiable, based on qualifications and experience.
Interested candidates: Share your updated CV along with total experience, current location, current salary, expected salary, and notice period.