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Home
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Jeena Sikho Lifecare
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Tpa Executive

Tpa Executive

Jeena Sikho Lifecare

1 - 6 years

2 - 4 Lacs

bhopal bengaluru vadodara

Posted:21 hours ago| Platform:

Apply

Skills Required

health claims insurance claims tpa claims processing mediclaim hospital administration medical insurance hospital health insurance

Work Mode

Work from Office

Job Type

Full Time

Job Description

Company Name:

Job Overview

TPA Executives

Key Responsibilities

Manage admission and discharge insurance formalities efficiently and accurately.
Coordinate with TPAs for timely
cashless approvals
,
authorizations
, and
pre-approvals
.
Handle insurance documentation, claims processing, billing support, and follow-up with TPAs.
Assist patients and their attendants with insurance queries, required documents, and process guidance.
Maintain updated records of all insurance-related approvals, queries, and claim documentation.
Coordinate closely with the
billing
,
front office
, and
medical teams
to ensure smooth discharge procedures.
Ensure compliance with hospital SOPs, insurance guidelines, and TPA requirements.

Key Requirements

Experience

13 years
of experience in TPA coordination, hospital insurance desk, or health insurance operations.
Experience handling
cashless authorization
and
reimbursement claims
in a hospital setup is preferred.

Educational Qualification

Bachelors degree (Any),
Healthcare Administration
,
Hospital Management
, or related fields.
Additional certifications in
Medical Billing
,
Insurance Management
, or
TPA processes
will be an added advantage.

Skills

Strong understanding of TPA operations, insurance claims, and healthcare documentation.
Proficiency in
MS Office
(Excel, Word, Outlook) and hospital management or HIS software.
Excellent communication and interpersonal skills for patient and TPA coordination.
High level of accuracy, attention to detail, and ability to manage workload under pressure.
Good organizational and multitasking abilities.

Contact Info

Simran Sandhu

7696661783

Executive- Talent Acquisition

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