1. Job Title: Sr. Executive-TPA Manager
2. Qualification: MBA
3. Location: HLG Hospital - Asansol, West Bengal
4. Work Experience: 0 to 5 Years

Job Description

1. Coordinate with TPAs and insurance companies for cashless and reimbursement claims.
2. Verify patient insurance details and ensure proper documentation for claim processing.
3. Submit pre-authorization requests and follow up for timely approvals.
4. Resolve claim rejections, discrepancies, and billing-related queries.
5. Maintain updated records of TPA agreements, tariffs, and approval status.
6. Liaise with billing, MRD, and clinical departments to ensure smooth claim workflow.
7. Monitor outstanding claims and ensure timely settlement from TPAs/insurers.
8. Prepare MIS reports on TPA performance, approvals, and revenue realization.

Take this opportunity to join HLG Hospital - Asansol, West Bengal as a Sr. Executive-TPA Manager in Asansol, West Bengal and build a successful career in the healthcare industry. Apply today for this job opportunity and grow with a leading healthcare organization.