Tpa Coordinator - Mumbai, Mumbai Suburban, Thane - Cellcure Cancer Centre

Description

Key Responsibilities:

• Handle and process cashless claims efficiently and within timelines.
• Coordinate with TPAs, insurance companies, and internal departments for smooth processing of patient admissions and discharges.
• Manage pre-authorisation, enhancement, and final approval processes for all cashless patients.
• Ensure accurate and timely documentation for CGHS, GIPSA, and private insurance claims.
• Track claim status, follow up on pending claims, and ensure timely reimbursements.
• Maintain up-to-date records and MIS reports.
• Coordinate with patients regarding insurance queries and documentation needs.
• Ensure compliance with standard protocols and hospital policies.

Requirements:

• Minimum 23 years of experience in hospital TPA operations, specifically with CGHS, GIPSA, and anywhere cashless networks.
• Strong understanding of cashless claims and insurance processes.
• Proficiency in Microsoft Excel and hospital billing software.
• Good communication and interpersonal skills.
• Ability to work under pressure and handle multiple tasks.