Job description
- 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
- Should have experience in handling CGHS cases.
- Approval for treatments regarding major emergency procedures / surgeries after discussing with HOD
- Interaction with doctors regarding broad treatment plan vis--vis hospitalization expenditure Collecting of all letters
- Clearances for Pharmacy / Procedures / Surgeries for IP corporates cases
Requirements:
· Minimum 2 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 & hospital billing software.
· Good communication and interpersonal skills.
· Ability to work under pressure and handle multiple tasks
Job Type: Full-time
Pay: ₹20,000.00 - ₹30,000.00 per month
Benefits:
Work Location: In person
