TPA Co-ordinator

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