TPA Coordinator

Job Title: TPA Coordinator (with Reception Support Role)

Location: Spandan Multi-Speciality Hospital & ICU, Kharghar, Navi Mumbai

Department: TPA / Billing / Reception

Experience Required: 1–3 Years (Hospital/TPA experience preferred)

Employment Type: Full-time

Job Summary

We are looking for a responsible and experienced TPA Coordinator who will primarily handle insurance and TPA-related work and also support reception activities. The candidate should ensure smooth cashless approvals, patient coordination, and proper front desk support to maintain efficient hospital operations.

Primary Responsibilities (TPA Coordinator)

• Coordinate with TPAs and insurance companies for cashless approvals
• Verify patient insurance documents and policy details
• Submit pre-authorization and final bills to TPA/Insurance companies
• Follow up for approvals, queries, and claim settlements
• Maintain proper documentation of all TPA cases
• Coordinate with doctors, billing team, and nursing staff for required medical documents
• Ensure smooth and timely discharge of TPA patients
• Handle claim rejections and resubmissions
• Maintain daily TPA reports and MIS
• Build good relationships with TPA representatives and insurance companies
• Attend all other reception responsibilities.

Required Skills

• Knowledge of hospital TPA and insurance process
• Good communication and patient handling skills
• Basic computer knowledge (Excel, Email, Hospital Software)
• Front desk and coordination ability

Qualification

• Graduate in any field.
• Experience in hospital TPA or Reception preferred

Salary

• ₹18,000 – ₹30,000 per month (Based on experience)

Reporting To

• Hospital Management / Billing Head

Job Timing

• Shift basis

Interested candidates can send their resume or visit the hospital for interview.