
TPA Coordinator
Mahatma Gandhi Mission New Bombay Hospital (MGM), Navi Mumbai
Navi Mumbai, Maharashtra, India
Posted on 31-03-2025
1 Vacancy
Description
- Verify patient insurance coverage and eligibility before treatment.
- Coordinate with TPAs to obtain pre-authorizations for cashless treatments.
- Maintain updated records of insurance policies and agreements with TPAs.
- Collect and verify necessary documents required for insurance claims.
- Ensure timely submission of claims to TPAs and insurance companies.
- Track claim status and follow up on pending or rejected claims.
- Educate patients about their insurance coverage, claim process, and required documentation.
- Assist patients in filling out insurance forms and resolving claim-related queries.
- Coordinate with hospital billing and finance teams for claim settlement.
Category
Administration / Management
Key Skills
Attention to DetailCommunicationProblem solvingDecision MakingInterpersonal skills
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