Job Description

Job Title: TPA Executive

Location: Bapat Multi-Speciality hospital

Key Responsibilities:

As a TPA Executive, your primary responsibilities will include, but are not limited to, the following:

oHandle admission and discharge formalities for TPA/Insurance patients.

Keep the software & excel Data always Updated.

oCoordinate with TPA and Insurance representatives for pre-authorizations, approvals, and claim settlements.

*Collect, verify, and submit all required documents for TPA/Insurance cases.

oDispatch files to insurance companies and maintain records of dispatch and receipts.

Fill up MOUs and other relevant documents as and when required in the TPA department., New empanelments
oEnsure timely follow-up for pending approvals, payments, and claim status.

Assist patients and their families with insurance/PA queries and documentation support.
oHandle all activities related to the Insurance and TPA department efficiently.

oPrepare and maintain reports for TPA and insurance cases as required by management.

Look after the Governments schemes Related to Insurance , Co-ordinate in the process.
Ensure compliance with hospital policies and TPA/Insurance protocols. Please note that your duties may be amended or expanded in response to changing organizational needs or healthcare standards.
Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹35,000.00 per month

Benefits:

Provident Fund
Work Location: In person