TPA or Mediclaim Coordinator

Job Title: TPA Documentation, Corporate & Mediclaim Coordinator

Location: Santacruz (W), Mumbai

Department: Billing / Insurance Coordination

Working Hours: 7:00 AM to 7:00 PM (Fixed Shift)

Weekly Off: Sunday

Key Responsibilities:

TPA & Mediclaim Coordination:

* Prepare and verify insurance documentation including pre-auth forms, discharge summaries, medical reports, and invoices.

* Ensure all documentation complies with insurance guidelines and is submitted in a timely manner.

* Coordinate with the medical and billing team to prepare accurate estimates and final bills for insured and corporate patients.

* Manage appointment coordination, insurance verification, and billing for corporate clients.

* Maintain records and MIS reports for corporate patients and billing accounts.

* Ensure smooth and professional service delivery to corporate patients.

Patient Support:

* Provide clear guidance to patients and their families regarding insurance coverage, documentation requirements, and claim status.

* Resolve patient queries related to insurance and billing with clarity and professionalism.

Candidate Requirements:

Education: HSC / Graduate in any discipline (Preferred: Healthcare related field)

Experience: Minimum 1-2 years in TPA/insurance coordination or hospital billing, preferably in an eye hospital or similar healthcare setup

Skills:

* Strong understanding of TPA and Mediclaim processes

* Excellent verbal and written communication

* Good knowledge of hospital software systems and MS Office

* High attention to detail and strong organizational skills

* Ability to handle patient interactions with empathy and professionalism

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹25,000.00 per month

Experience:

• TPA Coordinator : 2 years (Preferred)
• Mediclaim Coordinator : 2 years (Preferred)

Work Location: In person