TPA - COORDINATOR

2 years

0 Lacs

Posted:1 week ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Company Description


The Eye Foundation is a renowned eye specialty hospital with locations in major cities in South India. With a track record of nearly three decades, we have treated millions of patients throughout hospitals. Our institution is a pioneer in introducing laser eye surgery, enhancing the precision of cataract operations.


The TPA Coordinator is responsible for handling all processes related to cashless claims, insurance billing, coordination with insurance companies and corporate clients, and ensuring seamless processing of patient claims. The role demands a thorough understanding of TPA guidelines and policies relevant to ophthalmic care.


Key Responsibilities:


Experience in TPA or healthcare insurance processes.

• Coordinate with insurance companies and patients for documentation and approvals.

• Verify claims, ensure accuracy, and resolve discrepancies.

• Maintain records of claims, approvals, and settlements.

Qualifications

  • Graduate in any discipline (Healthcare/Administration preferred).
  • Minimum 1–2 years of experience in TPA/Insurance billing, preferably in a hospital.
  • Strong knowledge of health insurance claim procedures.
  • Excellent communication and interpersonal skills.
  • Ability to work in a fast-paced, high-pressure environment.

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