Adi Arogyam Super Speciality Hospital

Monitor and manage patient care in wards, ICU, and emergency room. Conduct daily rounds and update case sheets, treatment charts, and reports. Respond to medical emergencies promptly and inform senior consultants. Ensure timely execution of medical orders given by specialists. Attend to patient complaints and provide necessary care and reassurance. Document progress notes and maintain accurate records of treatments and interventions. Support nursing staff and ensure proper communication among care teams. Job Type: Full-time Work Location: In person

Job Summary: The TPA Executive is responsible for handling all Third Party Administrator-related activities in the hospital including insurance claim processing, documentation, coordination with insurance companies, and ensuring timely approvals and settlements. Key Responsibilities: Patient Admission: Verify patient insurance details at the time of admission. Facilitate cashless admission by coordinating with TPA/insurance companies. Maintain proper documentation for pre-authorization. Documentation and Claim Processing: Prepare and submit pre-authorization and final claim documents to TPAs/Insurance Companies. Ensure timely submission of all relevant medical documents and bills. Follow up on pending claims and approvals. Coordination: Communicate with consultants/doctors for medical inputs required for pre-authorizations and claim processing. Act as a liaison between the hospital and insurance/TPA representatives. Discharge and Final Billing: Ensure timely discharge approvals from TPA/Insurance. Coordinate for final settlement of cashless claims. Inform patient/family in case of any shortfall or rejection in claim amount. MIS and Reporting: Maintain and update TPA MIS (claim status, approvals, rejections, payments). Report discrepancies, delays, or issues to management for timely action. Compliance: Ensure compliance with IRDAI norms and hospital policies. Maintain confidentiality of patient and financial information. Qualifications: Graduate in any stream (preferably commerce or healthcare). Minimum 1-5 years of experience in TPA/Insurance desk in a hospital. Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹40,000.00 per month Benefits: Health insurance Provident Fund Work Location: In person

Monitor and manage patient care in wards, ICU, and emergency room. Conduct daily rounds and update case sheets, treatment charts, and reports. Respond to medical emergencies promptly and inform senior consultants. Ensure timely execution of medical orders given by specialists. Attend to patient complaints and provide necessary care and reassurance. Document progress notes and maintain accurate records of treatments and interventions. Support nursing staff and ensure proper communication among care teams. Job Type: Full-time Pay: ₹30,000.00 - ₹70,265.48 per month Work Location: In person