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TPA Coordinator

3 years

2 - 3 Lacs

Posted:3 days ago| Platform: SimplyHired logo

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On-site

Job Type

Full Time

Job Description

Job Title: TPA Coordinator

Location: Kalyan
Salary: ₹20,000 – ₹25,000 per month
Experience: 1–3 years (Healthcare/Hospital industry preferred)
Qualification: Graduate (Any discipline; Hospital Administration/Healthcare Management preferred)

Key Responsibilities:

  • Coordinate with Third Party Administrators (TPAs) for processing patient claims and approvals.
  • Handle pre-authorization and cashless claim procedures for patients.
  • Collect and compile required medical documentation for insurance claims.
  • Track and follow up on pending insurance approvals and reimbursements.
  • Maintain accurate and up-to-date records of all insurance claims and communications.
  • Guide patients and their relatives regarding insurance formalities and required documents.
  • Work closely with the billing and accounts team for claim settlement reconciliation.
  • Coordinate with internal departments (doctors, nurses, billing, etc.) to ensure smooth processing.
  • Ensure compliance with TPA and hospital policies and maintain good rapport with TPA representatives.

Key Skills:

  • Good communication and interpersonal skills
  • Familiarity with health insurance processes and documentation
  • Attention to detail and good organizational skills
  • Proficiency in MS Office (Word, Excel, Email)
  • Ability to handle pressure and work in a fast-paced environment

Timing: As per hospital shift/requirements

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹25,000.00 per month

Work Location: In person

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