We are looking for a dedicated and detail-oriented TPA (Third Party Administrator) Coordinator to manage all insurance-related tasks, including pre-authorizations, patient documentation, claim processing, and follow-up with TPA/insurance companies.
Key Responsibilities:
Coordinate with patients and their families regarding insurance policies and documentation.
Submit pre-authorization requests to TPAs and insurance providers in a timely manner.
Follow up on approvals, queries, and rejections from TPAs.
Handle discharge intimation, final authorization, and e-mail communications.
Maintain proper records of insurance claims, patient files, and authorization letters.
Work closely with the billing department for claim settlement and approvals.
Ensure timely submission of final bills and discharge summaries.
Handle claim queries and support audits or documentation verifications.
Keep updated with TPA guidelines and policy changes.
Coordinate with consultants and hospital departments for necessary medical information.
Skills Required:
Good communication (English, Hindi, and regional language)
Familiarity with medical terminologies and hospital systems
Basic computer skills (MS Office, Hospital Management Software)
Ability to multitask and handle pressure
Strong organizational and documentation skills
Preferred Candidates:
Experience in a hospital/clinic setting with exposure to TPA operations.
Understanding of IRDAI regulations and healthcare insurance processes.
Job Type: Full-time
Pay: ?25,000.00 - ?30,000.00 per month
Work Location: In person
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