<ul><li>Supervise daily TPA desk operations including patient coordination, pre-authorization, and billing documentation.</li><li>Liaise with TPA/insurance providers to obtain pre-authorizations, approvals, and ensure timely claims processing.</li><li>Monitor inpatient billing, ensure charges are mapped accurately, and support cashless discharge processes.</li><li>Oversee the collection and submission of required documentation for insurance claims.</li><li>Coordinate with the billing and finance teams to track pending claims and follow up on reimbursements.</li><li>Handle TPA-related queries and grievances from patients and families in a professional manner.</li><li>Maintain relationships with empaneled insurance/TPA companies and ensure up-to-date agreements and tariffs.</li></ul>

Asst. Manager-TPA & Insurance