Admin cum TPA

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