TPA Coordinator

1 - 31 years

3 - 4 Lacs

Posted:5 days ago| Platform: Apna logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities: Manage and maintain accurate billing records for all healthcare services rendered. Communicate regularly—both verbally and in writing—with US-based TPAs to facilitate approvals, claims processing, and follow-ups. Ensure timely submission and reconciliation of claims to insurance providers or TPAs. Track claim status, denials, and approvals and escalate delays proactively. Coordinate with internal teams and external stakeholders to gather necessary documentation and resolve claim-related queries. Maintain up-to-date knowledge of USA healthcare billing standards and compliance norms. Prepare daily/weekly reports related to billing and TPA communications. Ensure confidentiality and secure handling of patient and billing data at all times. Candidates Required:- Education: Graduate from a recognized regular B-School (mandatory). Experience: Minimum 1 year of hands-on experience in TPA coordination, preferably in a healthcare setup serving US clients. Excellent written and spoken English. Strong interpersonal skills to coordinate effectively with international stakeholders. Detail-oriented with strong organizational and documentation abilities. Proficient in MS Office tools, especially Excel and email communication. Willing to work night shifts aligned with USA timings. Adaptable, self-motivated, and professional in demeanor.

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