TPA Executive

Vedansh Superspeciality Hospital Pvt. Ltd

1 - 3 years

3 Lacs

dadri uttar pradesh

Posted:4 days ago| Platform: SimplyHired logo

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Skills Required

microsoft office bachelor's degree communication skills

Work Mode

On-site

Job Type

Full Time

Job Description

Job Title: TPA Executive

Location: Dadri, Uttar Pradesh

Experience Required: 1-3 years

Qualification: Graduate in any discipline (preferably with background in Healthcare / Insurance Management)

Job Responsibilities:

Handle end-to-end TPA (Third Party Administrator) coordination for cashless and reimbursement claims.
Process admission, discharge, and claim-related documentation in line with TPA requirements.
Liaise with insurance companies, TPAs, and patients for claim approvals and settlements.
Maintain accurate records of claims, approvals, rejections, and follow-ups.
Prepare and submit periodic MIS/reports related to TPA operations.
Ensure compliance with all statutory and organizational guidelines for claim processing.
Coordinate with the billing and finance departments to ensure timely payment realization.
Address and resolve queries from patients, insurance representatives, and internal stakeholders.

Key Skills & Competencies:

Good knowledge of TPA/Insurance claim procedures.
Strong communication and interpersonal skills.
Attention to detail and accuracy in documentation.
Ability to work under pressure and meet deadlines.
Proficiency in MS Office and hospital billing software.

Job Type: Full-time

Pay: ₹25,000.00 - ₹30,000.00 per month

Experience:

total work: 3 years (Required)

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