<ul><li>Coordinate with patients and TPA representatives for cashless hospitalization.</li><li>Collect and verify pre-authorization documents from patients.</li><li>Submit pre-authorization and final bill documents to TPAs/insurance.</li><li>Follow up for approval, queries, and timely settlement.</li><li>Maintain records of insurance claims and TPA correspondence.</li><li>Ensure accuracy in billing and documentation as per TPA requirements.</li><li>Guide patients on insurance formalities and claim processes.</li><li>Liaise with internal departments for medical reports and discharge summaries.</li><li>Monitor and escalate pending claims and rejections.</li><li>a</li></ul>

TPA Coordinator