Tpa Coordinator

Cellcure Cancer Centre

3 - 8 years

2 - 3 Lacs

mumbai suburban thane mumbai (all areas)

Posted:2 hours ago| Platform:

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Skills Required

cashless claims cghs tpa gipsa mediclaim claim settlement

Work Mode

Work from Office

Job Type

Full Time

Job Description

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
23 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.

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