TPA Coordinator

institute logo

TPA Coordinator

work outline icon0 - 5 Years of Experiencerupess outline iconNot disclosed time outline iconFull Time

Mahatma Gandhi Mission New Bombay Hospital (MGM), Navi Mumbai

time outline iconNavi 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

Aggregated job.

Learn more