<ul><li>Coordinate with patients and Third-Party Administrators (TPAs) for cashless hospital services.</li><li>Handle documentation for insurance claims, approvals, and settlements.</li><li>Verify patient insurance details and eligibility for specific treatments.</li><li>Liaise with hospital billing departments for timely claim processing.</li><li>Follow up with TPAs and insurance companies for pre-authorization and claim approvals.</li><li>Resolve patient queries related to insurance and claim status.</li><li>Maintain accurate records of insurance claims and TPA correspondence.</li><li>Ensure compliance with hospital policies and TPA agreements.</li><li>Assist in preparing periodic reports on TPA activities and claim trends.</li><li>Support patients in understanding policy terms and managing disputes effectively.</li></ul>

TPA Coordinator