TPA Executive

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TPA Executive

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

Eye Mantra Hospital, Patel Nagar, Ghaziabad

time outline iconGhaziabad, Uttar Pradesh, India

Posted on 15-12-2025

1 Vacancy

Description

  1. Coordinate with Third-Party Administrators (TPAs) for cashless and reimbursement claims.
  2. Verify patient insurance eligibility, coverage, and policy details before admission.
  3. Process pre-authorization requests and ensure timely approvals for treatments.
  4. Maintain accurate records of claims, approvals, and denials in the system.
  5. Liaise between hospital departments, patients, and TPAs for smooth claim settlement.
  6. Follow up on pending claims and resolve discrepancies or rejections.
  7. Ensure compliance with hospital policies and TPA guidelines.
  8. Generate reports related to TPA claims, approvals, and rejections for management.

Category

Administration / Management

Preferred Education

Any Graduate

Key Skills

Team WorkCommunicationAttention to DetailPositive Attitude

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