TPA Coordinator

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TPA Coordinator

work outline icon1 - 3 Years of Experiencerupess outline iconNot disclosed time outline iconFull Time

Jaipur National University (JNU), Jaipur

time outline iconJaipur, Rajasthan, India

Posted on 27-05-2025

1 Vacancy

Description

  • Manage and coordinate interactions between the hospital and Third Party Administrators (TPAs).
  • Verify patient insurance eligibility and coverage details with TPAs.
  • Facilitate pre-authorization and approval processes for insured patients.
  • Ensure timely processing of TPA claims and reimbursement.
  • Communicate effectively with patients, TPAs, and hospital departments regarding insurance matters.
  • Maintain accurate records of all TPA-related documents and communications.
  • Resolve discrepancies or issues related to insurance claims and payments.
  • Assist patients in understanding their insurance benefits and claim procedures.
  • Monitor and report on TPA performance and claim settlement status.

Category

Administration / Management

Key Skills

Good CommunicationAttention to DetailDecision MakingTeam working

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