Position: Back Office & TPA Executive

Department: TPA / Insurance / Back Office

Location: Meditrina Hospital, Jamshedpur

Experience: Minimum 2 years of relevant experience

Salary: ₹10,000 – ₹25,000 per month

Salary will be decided based on interview performance, practical/trial performance, and experience.

Job Summary

We are looking for an experienced and responsible Back Office & TPA Executive to handle hospital insurance/TPA-related work, documentation, billing coordination, and back-office operations. The candidate should have good knowledge of hospital TPA processes and be able to coordinate effectively with patients, insurance companies, TPAs, doctors, billing and other departments.

Key Responsibilities

- Handle TPA and insurance-related documentation and processes.
- Coordinate with various TPA/insurance companies for approvals and claim-related matters.
- Process cashless and reimbursement cases as per hospital procedures.
- Prepare and submit required documents for pre-authorisation and final approval.
- Follow up on pending approvals, queries and claim settlements.
- Coordinate with the billing, medical records, nursing and clinical departments.
- Check patient documents and ensure that all required information is complete.
- Maintain proper records of TPA cases, approvals, rejections and pending cases.
- Handle back-office data entry and maintain Excel/Office records.
- Communicate with patients and their attendants regarding required insurance/TPA documents.
- Follow up with TPAs/insurance companies for pending cases and payments.
- Maintain confidentiality of patient and hospital information.




- Prepare daily/weekly/monthly reports as required by management.
- Perform other TPA and back-office duties assigned by the management.

Required Skills
- Minimum 2 years of relevant experience in Hospital TPA/Insurance/Back Office.
- Good knowledge of cashless and insurance processes.
- Knowledge of TPA documentation and claim procedures.
- Valuable communication and coordination skills.
- Basic to good knowledge of MS Excel and MS Office.
- Good documentation and record-keeping skills.
- Ability to work under pressure and meet deadlines.
- Responsible, disciplined and detail-orientated.
- Prior experience in a hospital/healthcare setup will only be preferred.

Selection Process Candidates will be evaluated based on:
- Interview Performance
- Practical/Trial Performance
- Relevant Experience atleast 2years
- Communication and Coordination Skills
- Knowledge of TPA/Insurance Processes

Salary Range: ₹10,000 – ₹25,000 per month, depending on experience, interview performance and trial performance.

Benefits

- Paid sick time
- Paid time off

Work Location: In person Pay: ₹10,000.00 - ₹25,000.00 per month

Benefits

- Paid sick time
- Paid time off
- Provident Fund

Ability to commute/relocate:
- Jamshedpur, Jharkhand: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):
- What is pre-authorisation in hospital insurance?
- What would you do if an insurance company raised a query regarding a patient's medical documents?
- What is the difference between cashless and reimbursement claims?

Experience:
- TPA : 1 year (Required)

Work Location: In person

📌 TPA Executive (Jamshedpur)
🏢 Meditrina Hospital
📍 Jamshedpur