Role & responsibilities

• Coordinate with TPAs & insurance companies for cashless and reimbursement cases
• Handle pre-authorization, approvals, queries, and documentation
• Patient counselling regarding billing, insurance coverage, and procedures
• Assist in billing coordination with billing department
• Ensure accurate patient data entry and documentation
• Follow up on pending TPA cases and settlements
• Maintain proper records and reports related to TPA cases
• Act as a bridge between patients, doctors, billing, and insurance teams

Preferred candidate profile

• Qualification: BHMS / BAMS / BDS (Mandatory)
• Experience: Freshers or up to 3 years experience in TPA / hospital administration
• Good communication & interpersonal skills
• Basic knowledge of TPA processes & hospital billing preferred
• Proficient in MS Office
• Patient-friendly and service-oriented approach
• Strong coordination & follow-up skills
• Ability to handle patients empathetically
• Knowledge of hospital workflows
• Willingness to work in a hospital administrative setup