<ul><li>Handle the processing of cashless and reimbursement claims with Third-Party Administrators (TPA).</li><li>Coordinate between patients, insurance companies, and hospital billing departments.</li><li>Verify insurance documents, eligibility, and coverage details for treatment approval.</li><li>Ensure timely submission of pre-authorization requests and required documentation.</li><li>Follow up on claim approvals, denials, and pending cases with TPAs and insurers.</li><li>Assist patients in understanding their insurance benefits, exclusions, and claim procedures.</li><li>Maintain accurate records of claims, approvals, and payment settlements.</li><li>Resolve discrepancies, disputes, and escalations related to insurance claims.</li><li>Ensure compliance with hospital policies, insurance guidelines, and regulatory standards.</li></ul>

TPA Coordinator