<ul><li>Supervise daily operations related to insurance billing, TPA coordination, and claim submissions</li><li>Ensure timely processing of pre-authorizations and final bill approvals for IP and day-care patients</li><li>Verify and monitor insurance documents and policies for eligibility and claim coverage</li><li>Liaise with TPA representatives, insurance coordinators, and corporate clients</li><li>Oversee documentation and communication for cashless approvals and reimbursements</li><li>Track claim status, follow up on pending payments, and minimize rejections or deductions</li><li>Maintain accurate MIS reports and dashboards related to insurance and TPA activities</li><li>Ensure compliance with statutory and hospital billing policies (NABH/NABL standards)</li><li>Train and support TPA desk staff on claim processes, documentation, and software usage</li></ul>

Asst. Manager-TPA & Insurance