TPA Claims Coordinator

• Verify patient insurance eligibility and policy details
• Assist patients in filling insurance/TPA forms
• Submit pre-authorization requests to TPA/insurance companies
• Coordinate with doctors for clinical details required for approval
• Ensure timely approval for cashless treatment

Handle queries raised by TPA (medical or administrative)Prepare final bill as per TPA package rates

Submit required documents for final approval:

• Discharge summary
• Investigation reports
• OT notes (for surgeries like cataract, glaucoma, etc.)

SKILLS REQUIRED-Understanding of insurance/TPA processes

Good communication & coordination skills

Documentation accuracy

• Basic computer skills (Excel, HIS software)
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