TPA Executive

Job Title: TPA & Office Coordinator

Department: Operations / Administration

Location: Hospital Branch

Employment Type: Full-Time

Budget: ₹25,000 per month

Job Summary

The Office Coordinator will be responsible for handling day-to-day TPA and insurance-related activities along with supporting branch operations and administrative functions. The role includes coordination of TPA/insurance processes, NABH documentation, financial counselling, pharmacy coordination, and occasional reception support to ensure smooth hospital operations.

Key Responsibilities

• TPA & Insurance CoordinationHandle insurance and panel patient documentation and coordination.
• Maintain records related to cashless approvals and claim processing.
• Coordinate with insurance companies and TPAs for patient cases.
• Ensure timely submission and follow-up of required documents.

NABH Documentation

• Maintain NABH-related files, records, and documentation.
• Support implementation and compliance of NABH standards.
• Coordinate with departments for required operational records.

Financial Counselling

• Guide patients regarding treatment estimates and billing processes.
• Explain insurance coverage and payment procedures to patients and attendants.
• Support billing and payment coordination when required.

Pharmacy & Operational Support

• Coordinate with the pharmacy team for operational support.
• Assist in maintaining stock records and internal coordination.
• Support overall branch administration activities.

Reception & Front Desk Support (Occasionally, as per operational requirement)

• Attend patient queries and coordinate appointments.
• Ensure smooth patient flow and proper communication at the reception.
• Maintain patient records and basic administrative data.

Required Skills

• Good communication and coordination skills.
• Basic knowledge of hospital operations and patient handling.
• Understanding of TPA/insurance processes preferred.
• Knowledge of NABH standards will be an added advantage.
• Basic computer knowledge (MS Office, Email, Excel).

Qualification

• Graduate in any discipline.
• Preference will be given to candidates with hospital/healthcare experience.

Experience

• 1–3 years of experience in hospital operations, administration, TPA handling, or front desk coordination preferred.

Key Attributes

• Multitasking ability
• Team coordination
• Patient-centric approach
• Good documentation skills
• Ability to work in a fast-paced environment