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TPA Coordinator

TPA Coordinator

ViFin

2 years

0 Lacs

chennai tamil nadu india

Posted:4 days ago| Platform:

Apply

Skills Required

authorization management billing compliance communication coordination

Work Mode

On-site

Job Type

Full Time

Job Description

Job Title: Pre-Authorization Executive – Health Insurance Claims

Location: Chennai

Experience: 0.6–2 years

Job Summary:

Pre-Authorization Executive

Key Responsibilities:

Verify patient insurance details and eligibility before admission.
Prepare and submit pre-authorization forms and required medical documents to the respective TPA/insurance company.
Coordinate with treating doctors to gather diagnosis, treatment plan, and cost estimates.
Follow up with insurance companies/TPAs for timely approval of pre-authorization requests.
Update approval status in the hospital management system and inform the billing/admission desk.
Handle queries related to pre-authorization approvals or denials.
Maintain accurate records of all submitted and approved claims.
Coordinate with the billing team for final claim submission post-discharge.
Ensure compliance with hospital and TPA protocols.

Required Skills:

Good communication and coordination skills.
Knowledge of health insurance policies and TPA procedures.
Basic understanding of hospital billing and claim documentation.
Proficiency in MS Office and hospital management software.

Qualification:

Any graduate.

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