Role: TPA Coordinator – Mediclaim
Location: Dombivli
Salary: ₹15,000 – ₹20,000 per month
Job Type: Full-time
Job Description:
We are hiring a TPA Coordinator (Mediclaim) for a hospital in Dombivli. The candidate will be responsible for handling insurance and mediclaim processes, coordinating with TPAs, and ensuring timely claim approvals and settlements.
Key Responsibilities
- Verify patient insurance and mediclaim eligibility.
- Process pre-authorizations and cashless approvals.
- Prepare and submit mediclaim documents to TPAs and insurance companies.
- Follow up on pending claims and approvals.
- Handle claim rejections, discrepancies, and resubmissions.
- Coordinate with doctors, billing, nursing, pharmacy, and laboratory departments for required documents.
- Guide patients regarding mediclaim procedures and documentation.
- Maintain accurate records of claims and approvals.
- Prepare basic reports on claim status and pending receivables.
Requirements:
- HSC (12th Pass) or Graduate.
- 1–3 years of experience in Hospital TPA, Mediclaim Processing, Insurance Coordination, or Medical Billing preferred.
- Basic knowledge of insurance claims and TPA processes.
- Familiarity with MS Excel and hospital software systems.
- Good communication and follow-up skills.
Preferred Experience: Hospital TPA/Mediclaim Department
Contact: 9820185982
Email: [email protected]
Pay: ₹15,000.00 - ₹20,000.00 per month
Benefits:
Work Location: In person
