Job Description – TPA Executive / Cashless Coordinator
Department
TPA / Billing
Experience
4–5 years (Multispeciality Hospital preferred)
Reporting To
TPA Manager / Billing Head
Location
Ozone Multispeciality Hospital / Triveni Hospital
Job Purpose
To ensure smooth handling of cashless patients including pre-authorization, approvals, documentation, and claim processing while minimizing rejection and ensuring patient satisfaction.
Key Responsibilities
- Handle pre-authorization and eligibility verification.
- Coordinate with TPA/Insurance for approvals and queries.
- Manage inpatient documentation and updates.
- Ensure smooth discharge and billing approval.
- Maintain accurate claim files.
- Resolve queries and reduce rejections.
- Maintain daily MIS and reports.
Key Performance Indicators (KPI)
- Pre-authorization turnaround time
- Claim rejection rate
- Deduction percentage
- Patient satisfaction
- Documentation accuracy
Qualification
Graduate (Healthcare preferred). Certification in hospital administration is an advantage.
Skills Required
- Good communication and coordination
- Knowledge of TPA portals (Medi Assist, Vidal, FHPL etc.)
- Basic understanding of hospital billing and documentation
- Computer proficiency (Excel, HIS)
Pay: ₹20,000.00 - ₹25,000.00 per month
Benefits:
Work Location: In person
