Job Description

Job Title:

TPA Coordinator

Location:

MOC Cancer Care & Research Centre, Andheri (E) / Panvel

Job Summary:

We are seeking a dedicated and detail-oriented

TPA Coordinator

to manage and process cashless claims efficiently. The ideal candidate will have prior experience with

CGHS

,

GIPSA

, and

anywhere cashless

insurance procedures, along with strong coordination and documentation skills.

Key Responsibilities:

Handle and process

cashless claims

efficiently and within timelines. Coordinate with

TPAs

,

insurance companies

, and internal departments for smooth processing of patient admissions and discharges. Manage pre-authorisation, enhancement, and final approval processes for all cashless patients. Ensure accurate and timely documentation for

CGHS

,

GIPSA

, and private insurance claims. Track claim status, follow up on pending claims, and ensure timely reimbursements. Maintain up-to-date records and MIS reports. Coordinate with patients regarding insurance queries and documentation needs. Ensure compliance with standard protocols and hospital policies.

Requirements:

Minimum

2-3 years

of experience in hospital TPA operations, specifically with

CGHS

,

GIPSA

, and

anywhere cashless

networks. Strong understanding of cashless claims and insurance processes. Proficiency in

Microsoft Excel

and hospital billing software. Good communication and interpersonal skills. Ability to work under pressure and handle multiple tasks.
Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹30,000.00 per month

Benefits:

Health insurance Leave encashment Paid sick time Provident Fund
Expected Start Date: 01/10/2025