<ul><li>Manage all Third-Party Administrator (TPA) operations related to cashless and reimbursement claims.</li><li>Coordinate with insurance companies and TPAs for timely pre-authorization and claim settlement.</li><li>Verify patient insurance documents and ensure accurate data entry in the hospital system.</li><li>Monitor end-to-end claim processing, including documentation and follow-up for approvals.</li><li>Resolve discrepancies or queries raised by TPAs or patients regarding insurance claims.</li><li>Maintain updated knowledge of insurance policies, empaneled TPAs, and regulatory guidelines.</li><li>Prepare and submit periodic reports on pending, approved, and rejected claims.</li><li>Train and supervise TPA coordinators to ensure efficient handling of cases.</li></ul>

TPA Manager