Admin Cum Tpa

Year    Raigarh Fort, MH, IN, India

Job Description

Job Title:

Admin cum TPA Executive

Location:

Rasayani, Raigad

Experience:

Minimum 3 years

Qualification:

Graduate (mandatory)

Industry:

Healthcare / Hospital

Job Summary:



We are looking for an experienced

Admin cum TPA Executive

to manage hospital administration tasks along with handling Third Party Administrator (TPA) operations. The ideal candidate should be well-versed in hospital workflows, TPA claim processing, and possess strong coordination and documentation skills.

Key Responsibilities:Administrative Duties:



Oversee day-to-day administrative operations of the hospital. Coordinate with departments for smooth functioning and patient service. Maintain staff attendance, shift schedules, and general discipline. Ensure timely procurement of medical and non-medical supplies. Supervise facility management, maintenance, and security. Handle patient complaints and grievances promptly.

TPA & Insurance Coordination:



Handle cashless hospitalization process - pre-authorization, approvals, and final settlement. Coordinate with TPA agencies and insurance companies for timely claims processing. Maintain accurate and complete documentation for all insured patients. Ensure submission of final bills, discharge summaries, and other supporting documents to TPAs. Follow up on pending claims and coordinate for rejections or short payments. Maintain TPA MIS and prepare regular reports for management.

Required Skills:



Strong knowledge of hospital operations and TPA procedures. Familiarity with medical billing, coding, and insurance documentation. Proficient in MS Office (Word, Excel) and hospital management software. Good communication and interpersonal skills. Ability to handle pressure and resolve issues efficiently.

Preferred Experience:



Minimum 3 years of experience in a similar role in a multispecialty hospital setting.
Job Type: Full-time

Pay: From ?25,000.00 per month

Benefits:

Flexible schedule
Schedule:

Day shift Fixed shift Morning shift
Work Location: In person

Application Deadline: 20/07/2025
Expected Start Date: 21/07/2025

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Job Detail

  • Job Id
    JD3848825
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Raigarh Fort, MH, IN, India
  • Education
    Not mentioned
  • Experience
    Year