TPA Coordinator

TPA (Third Party Administrator) Coordinator

Key Responsibilities:

• Coordinate with TPAs and insurance companies for cashless hospitalization approvals and claims settlement.
• Verify and process pre-authorization requests and insurance documents.
• Maintain accurate records of insurance approvals, rejections, and pending cases.
• Ensure compliance with all TPA guidelines and hospital policies.
• Handle queries from patients and their families regarding insurance coverage and documentation.
• Follow up with TPAs/insurance companies for timely claim settlements.
• Prepare and submit required MIS reports related to TPA activities.
• Work closely with hospital billing and finance teams for reconciliation of claims.

Requirements:

• Bachelor’s degree in any discipline (Healthcare/Insurance background preferred).
• 1–3 years of experience in TPA coordination, hospital billing, or health insurance sector.
• Strong communication and interpersonal skills.
• Good knowledge of health insurance policies and TPA processes.
• Proficiency in MS Office (Excel, Word).
• Ability to work under pressure and handle multiple cases simultaneously.
  

Benefits:

• Competitive salary package.
• Health insurance and other employee benefits.
• Opportunity to work in a growing healthcare organization.
• Professional development and training support.